Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,453.00 / $16,042.00	Facility		$1,386.00	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.96 / $1,436.29 / $1,946.52	Professional		$1,283.96	$1,436.29	$1,946.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,390.00 / $10,182.00 / $16,615.00	Facility		$3,390.00	$10,182.00	$16,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.13 / $1,689.80 / $2,331.92	Professional		$1,109.13	$1,689.80	$2,331.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,471.60 / $1,939.06 / $2,908.59	Facility		$1,471.60	$1,939.06	$2,908.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,385.04 / $1,731.30 / $2,493.08	Professional		$1,385.04	$1,731.30	$2,493.08
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 $1,436.74 / $1,801.72 / $2,965.64	Professional		$1,436.74	$1,801.72	$2,965.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.71 / $1,572.10 / $2,843.91	Professional		$1,215.71	$1,572.10	$2,843.91