Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.64 / $2,318.00 / $14,063.00	Facility		$1,133.64	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.75 / $1,133.64 / $1,541.10	Professional		$1,042.75	$1,133.64	$1,541.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $16,700.00 / $33,821.32	Facility		$2,705.10	$16,700.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.21 / $1,619.83 / $2,210.66	Professional		$1,002.21	$1,619.83	$2,210.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,127.44 / $1,547.46 / $2,321.19	Facility		$1,127.44	$1,547.46	$2,321.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,105.33 / $1,381.66 / $1,989.60	Professional		$1,105.33	$1,381.66	$1,989.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,963.58 / $5,963.58 / $7,069.24	Facility		$5,963.58	$5,963.58	$7,069.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.25 / $1,392.64 / $2,298.21	Professional		$1,085.25	$1,392.64	$2,298.21
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 $984.87 / $1,313.67 / $2,387.90	Professional		$984.87	$1,313.67	$2,387.90