Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.64 / $2,612.76 / $9,550.00	Facility		$1,016.64	$2,612.76	$9,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,017.91 / $1,463.55	Professional		$942.87	$1,017.91	$1,463.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $16,700.00 / $33,821.32	Facility		$2,705.10	$16,700.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.89 / $1,257.90 / $1,735.90	Professional		$926.89	$1,257.90	$1,735.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,064.46 / $1,402.59 / $2,103.89	Facility		$1,064.46	$1,402.59	$2,103.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,001.85 / $1,202.22 / $1,803.33	Professional		$1,001.85	$1,202.22	$1,803.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,169.81 / $6,169.81 / $7,313.70	Facility		$6,169.81	$6,169.81	$7,313.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.91 / $1,276.89 / $2,215.39	Professional		$1,025.91	$1,276.89	$2,215.39
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 $880.91 / $1,202.22 / $2,141.44	Professional		$880.91	$1,202.22	$2,141.44