Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.58 / $3,052.11 / $17,225.00	Facility		$1,187.58	$3,052.11	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.03 / $1,199.58 / $1,613.08	Professional		$1,076.03	$1,199.58	$1,613.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,526.00 / $14,542.00 / $37,919.46	Facility		$3,526.00	$14,542.00	$37,919.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.54 / $1,458.60 / $2,012.86	Professional		$1,043.54	$1,458.60	$2,012.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.70 / $1,621.94 / $2,432.91	Facility		$1,181.70	$1,621.94	$2,432.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,158.53 / $1,448.16 / $2,085.36	Professional		$1,158.53	$1,448.16	$2,085.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,889.70 / $8,889.70 / $10,537.86	Facility		$8,889.70	$8,889.70	$10,537.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.21 / $1,537.34 / $2,614.98	Professional		$1,211.21	$1,537.34	$2,614.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.93 / $1,376.49 / $2,414.15	Professional		$1,031.93	$1,376.49	$2,414.15