Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.81 / $3,000.00 / $11,093.00	Facility		$1,294.81	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.70 / $1,298.19 / $1,774.33	Professional		$1,155.70	$1,298.19	$1,774.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $30,900.00	Facility		$3,473.00	$7,890.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.32 / $1,670.60 / $2,305.42	Professional		$1,160.32	$1,670.60	$2,305.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.86 / $1,614.43 / $1,862.81	Facility		$1,241.86	$1,614.43	$1,862.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,241.86 / $1,448.09 / $1,862.81	Professional		$1,241.86	$1,448.09	$1,862.81
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 $1,342.90 / $1,726.59 / $2,842.79	Professional		$1,342.90	$1,726.59	$2,842.79
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 $1,113.30 / $1,490.24 / $2,723.28	Professional		$1,113.30	$1,490.24	$2,723.28