Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,561.08 / $16,042.00	Facility		$1,386.00	$2,561.08	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.51 / $1,662.43 / $2,058.23	Professional		$1,502.51	$1,662.43	$2,058.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.00 / $9,888.00 / $26,304.00	Facility		$1,805.00	$9,888.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.98 / $1,501.16 / $2,071.60	Professional		$1,275.98	$1,501.16	$2,071.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,545.74 / $1,970.06 / $2,273.15	Facility		$1,545.74	$1,970.06	$2,273.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,515.43 / $1,750.73 / $2,273.15	Professional		$1,515.43	$1,750.73	$2,273.15
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 $1,569.64 / $2,049.21 / $3,463.98	Professional		$1,569.64	$2,049.21	$3,463.98
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 $1,468.16 / $1,906.60 / $3,216.86	Professional		$1,468.16	$1,906.60	$3,216.86