Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.19 / $3,094.77 / $14,063.00	Facility		$1,204.19	$3,094.77	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.82 / $1,255.30 / $1,633.14	Professional		$1,080.82	$1,255.30	$1,633.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,065.00 / $9,219.00 / $37,919.46	Facility		$3,065.00	$9,219.00	$37,919.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.98 / $1,311.18 / $1,809.42	Professional		$842.98	$1,311.18	$1,809.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,192.77 / $1,637.13 / $2,455.69	Facility		$1,192.77	$1,637.13	$2,455.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,169.38 / $1,461.73 / $2,104.89	Professional		$1,169.38	$1,461.73	$2,104.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,525.26 / $12,525.26 / $14,847.46	Facility		$12,525.26	$12,525.26	$14,847.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.59 / $1,628.37 / $2,628.98	Professional		$1,220.59	$1,628.37	$2,628.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.23 / $1,373.52 / $2,411.19	Professional		$1,032.23	$1,373.52	$2,411.19