Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.63 / $4,580.00 / $17,225.00	Facility		$1,159.63	$4,580.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.30 / $1,159.63 / $1,634.53	Professional		$1,050.30	$1,159.63	$1,634.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.09 / $1,403.40 / $2,084.38	Professional		$1,071.09	$1,403.40	$2,084.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $958.21 / $1,395.72 / $1,507.44	Facility		$958.21	$1,395.72	$1,507.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,073.63 / $1,288.35 / $1,525.87	Professional		$1,073.63	$1,288.35	$1,525.87
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 $1,011.72 / $1,382.64 / $2,042.30	Professional		$1,011.72	$1,382.64	$2,042.30
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 $937.07 / $1,193.19 / $2,180.55	Professional		$937.07	$1,193.19	$2,180.55