Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.41 / $2,722.76 / $14,063.00	Facility		$1,112.41	$2,722.76	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.21 / $1,112.41 / $1,377.27	Professional		$1,005.21	$1,112.41	$1,377.27
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 $916.64 / $1,145.80 / $1,581.20	Professional		$916.64	$1,145.80	$1,581.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,074.45 / $1,516.88 / $2,275.32	Facility		$1,074.45	$1,516.88	$2,275.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,061.81 / $1,314.63 / $1,820.25	Professional		$1,061.81	$1,314.63	$1,820.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,551.86 / $5,551.86 / $5,551.86	Facility		$5,551.86	$5,551.86	$5,551.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.58 / $1,318.09 / $2,316.46	Professional		$993.58	$1,318.09	$2,316.46
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 $1,026.73 / $1,236.53 / $1,922.30	Professional		$1,026.73	$1,236.53	$1,922.30