Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.18 / $2,453.00 / $16,042.00	Facility		$1,320.18	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.72 / $1,320.18 / $1,634.51	Professional		$1,188.72	$1,320.18	$1,634.51
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 $910.09 / $1,070.70 / $1,520.39	Professional		$910.09	$1,070.70	$1,520.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.83 / $1,555.96 / $1,795.34	Facility		$1,220.83	$1,555.96	$1,795.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,196.89 / $1,436.27 / $1,795.34	Professional		$1,196.89	$1,436.27	$1,795.34
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 $1,009.42 / $1,472.04 / $2,752.85	Professional		$1,009.42	$1,472.04	$2,752.85
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 $1,079.93 / $1,463.36 / $2,227.19	Professional		$1,079.93	$1,463.36	$2,227.19