Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,503.44 / $11,093.00	Facility		$1,386.00	$2,503.44	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.00 / $1,541.93 / $2,195.38	Professional		$1,388.00	$1,541.93	$2,195.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $24,714.00 / $35,662.00	Facility		$2,705.10	$24,714.00	$35,662.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,421.99 / $1,986.68 / $2,741.61	Professional		$1,421.99	$1,986.68	$2,741.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,510.96 / $2,073.86 / $3,110.79	Facility		$1,510.96	$2,073.86	$3,110.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,481.33 / $1,851.66 / $2,666.40	Professional		$1,481.33	$1,851.66	$2,666.40
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 $1,525.23 / $1,991.79 / $3,320.00	Professional		$1,525.23	$1,991.79	$3,320.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,296.00 / $17,649.00	Facility		$5,058.00	$12,296.00	$17,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.20 / $1,817.45 / $3,379.46	Professional		$1,343.20	$1,817.45	$3,379.46