Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $3,500.00 / $17,225.00	Facility		$1,628.00	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.66 / $1,721.28 / $2,563.98	Professional		$1,418.66	$1,721.28	$2,563.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,290.61 / $1,540.20 / $2,125.46	Professional		$1,290.61	$1,540.20	$2,125.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,597.26 / $2,035.72 / $2,348.91	Facility		$1,597.26	$2,035.72	$2,348.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,565.94 / $1,796.92 / $2,348.91	Professional		$1,565.94	$1,796.92	$2,348.91
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 $1,418.42 / $1,954.39 / $3,597.83	Professional		$1,418.42	$1,954.39	$3,597.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,218.00 / $10,069.00 / $18,302.00	Facility		$4,218.00	$10,069.00	$18,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,439.74 / $1,884.77 / $3,032.02	Professional		$1,439.74	$1,884.77	$3,032.02