Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.17 / $1,644.39 / $11,093.00	Facility		$1,051.17	$1,644.39	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.81 / $1,051.17 / $1,216.26	Professional		$977.81	$1,051.17	$1,216.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,200.00 / $15,727.00	Facility		$3,473.00	$7,200.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.01 / $1,270.57 / $1,725.49	Professional		$973.01	$1,270.57	$1,725.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $868.41 / $1,264.91 / $1,362.21	Facility		$868.41	$1,264.91	$1,362.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $973.01 / $1,167.60 / $1,381.86	Professional		$973.01	$1,167.60	$1,381.86
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 $992.57 / $1,309.33 / $1,833.42	Professional		$992.57	$1,309.33	$1,833.42
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 $851.54 / $1,184.52 / $2,769.51	Professional		$851.54	$1,184.52	$2,769.51