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 $1,257.20 / $1,393.72 / $1,725.56	Professional		$1,257.20	$1,393.72	$1,725.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,700.00 / $17,513.00	Facility		$3,719.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.20 / $1,250.80 / $1,726.10	Professional		$1,056.20	$1,250.80	$1,726.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,289.83 / $1,643.92 / $1,896.83	Facility		$1,289.83	$1,643.92	$1,896.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,264.55 / $1,517.46 / $1,896.83	Professional		$1,264.55	$1,517.46	$1,896.83
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 $1,072.58 / $1,543.56 / $2,908.46	Professional		$1,072.58	$1,543.56	$2,908.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.92 / $1,481.69 / $2,727.32	Professional		$1,134.92	$1,481.69	$2,727.32