Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,497.09 / $7,212.00	Facility		$1,386.00	$2,497.09	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.45 / $1,542.48 / $2,115.63	Professional		$1,378.45	$1,542.48	$2,115.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.15 / $1,983.90 / $2,737.78	Professional		$1,310.15	$1,983.90	$2,737.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,569.91 / $2,068.60 / $3,102.90	Facility		$1,569.91	$2,068.60	$3,102.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,477.57 / $1,773.08 / $2,659.62	Professional		$1,477.57	$1,773.08	$2,659.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.94 / $2,099.73 / $3,310.60	Professional		$1,616.94	$2,099.73	$3,310.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.66 / $1,793.61 / $3,175.12	Professional		$1,319.66	$1,793.61	$3,175.12