Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.94 / $2,839.10 / $14,063.00	Facility		$1,159.94	$2,839.10	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.94 / $1,159.94 / $1,436.12	Professional		$1,106.94	$1,159.94	$1,436.12
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 $986.68 / $1,160.80 / $1,601.90	Professional		$986.68	$1,160.80	$1,601.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,156.21 / $1,576.65 / $2,364.98	Facility		$1,156.21	$1,576.65	$2,364.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,103.66 / $1,366.43 / $1,891.98	Professional		$1,103.66	$1,366.43	$1,891.98
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 $1,052.10 / $1,474.28 / $2,526.73	Professional		$1,052.10	$1,474.28	$2,526.73
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 $1,069.78 / $1,359.23 / $2,174.77	Professional		$1,069.78	$1,359.23	$2,174.77