Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,565.78 / $3,500.00 / $17,225.00	Facility		$1,565.78	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.67 / $1,565.78 / $2,035.22	Professional		$1,432.67	$1,565.78	$2,035.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,076.00 / $23,814.00	Facility		$3,719.00	$10,076.00	$23,814.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,392.40 / $1,740.50 / $2,401.89	Professional		$1,392.40	$1,740.50	$2,401.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,457.80 / $1,857.99 / $2,143.83	Facility		$1,457.80	$1,857.99	$2,143.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,429.22 / $1,715.06 / $2,143.83	Professional		$1,429.22	$1,715.06	$2,143.83
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 $1,450.71 / $1,909.25 / $3,272.22	Professional		$1,450.71	$1,909.25	$3,272.22
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 $1,425.22 / $1,775.18 / $2,796.42	Professional		$1,425.22	$1,775.18	$2,796.42