Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.41 / $2,967.50 / $14,063.00	Facility		$1,212.41	$2,967.50	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.19 / $1,212.41 / $1,501.08	Professional		$1,088.19	$1,212.41	$1,501.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $8,512.00 / $16,307.00	Facility		$3,719.00	$8,512.00	$16,307.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.91 / $939.90 / $1,334.65	Professional		$798.91	$939.90	$1,334.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.46 / $1,426.76 / $1,646.27	Facility		$1,119.46	$1,426.76	$1,646.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,097.51 / $1,259.39 / $1,646.27	Professional		$1,097.51	$1,259.39	$1,646.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.57 / $1,282.58 / $2,524.28	Professional		$848.57	$1,282.58	$2,524.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.29 / $1,298.82 / $2,089.41	Professional		$965.29	$1,298.82	$2,089.41