Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.39 / $2,453.00 / $16,042.00	Facility		$1,269.39	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.92 / $1,269.39 / $1,571.63	Professional		$1,139.92	$1,269.39	$1,571.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,700.00 / $17,513.00	Facility		$3,719.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.08 / $1,292.59 / $1,783.78	Professional		$1,034.08	$1,292.59	$1,783.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,179.55 / $1,503.35 / $1,734.63	Facility		$1,179.55	$1,503.35	$1,734.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,156.42 / $1,387.70 / $1,734.63	Professional		$1,156.42	$1,387.70	$1,734.63
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 $1,008.88 / $1,521.01 / $2,644.53	Professional		$1,008.88	$1,521.01	$2,644.53
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 $1,136.22 / $1,400.60 / $2,226.86	Professional		$1,136.22	$1,400.60	$2,226.86