Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.52 / $2,674.14 / $17,225.00	Facility		$1,040.52	$2,674.14	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.71 / $1,047.24 / $1,407.04	Professional		$979.71	$1,047.24	$1,407.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,010.00 / $14,096.00 / $30,900.00	Facility		$5,010.00	$14,096.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.69 / $1,420.10 / $1,959.73	Professional		$947.69	$1,420.10	$1,959.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.02 / $1,417.86 / $2,126.79	Facility		$1,033.02	$1,417.86	$2,126.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,012.76 / $1,215.31 / $1,822.97	Professional		$1,012.76	$1,215.31	$1,822.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.23 / $1,457.95 / $2,313.46	Professional		$1,102.23	$1,457.95	$2,313.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $908.61 / $1,208.33 / $2,139.17	Professional		$908.61	$1,208.33	$2,139.17