Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.08 / $2,861.49 / $14,063.00	Facility		$1,169.08	$2,861.49	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.86 / $1,169.08 / $1,447.45	Professional		$1,052.86	$1,169.08	$1,447.45
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 $921.84 / $1,152.30 / $1,590.17	Professional		$921.84	$1,152.30	$1,590.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,125.68 / $1,589.19 / $2,383.79	Facility		$1,125.68	$1,589.19	$2,383.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,112.43 / $1,377.30 / $1,907.03	Professional		$1,112.43	$1,377.30	$1,907.03
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 $979.90 / $1,360.96 / $2,436.98	Professional		$979.90	$1,360.96	$2,436.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $9,369.00 / $15,660.00	Facility		$4,699.00	$9,369.00	$15,660.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.29 / $1,227.91 / $1,950.24	Professional		$1,056.29	$1,227.91	$1,950.24