Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.82 / $1,472.97 / $16,042.00	Facility		$1,148.82	$1,472.97	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.82 / $1,438.11 / $1,627.34	Professional		$1,148.82	$1,438.11	$1,627.34
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 $938.27 / $1,196.01 / $1,857.34	Professional		$938.27	$1,196.01	$1,857.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,086.33 / $1,384.55 / $1,845.36	Facility		$1,086.33	$1,384.55	$1,845.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,356.12 / $1,559.54 / $2,034.18	Professional		$1,356.12	$1,559.54	$2,034.18
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 $1,169.24 / $1,479.52 / $2,664.37	Professional		$1,169.24	$1,479.52	$2,664.37
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 $1,285.77 / $1,624.55 / $2,954.90	Professional		$1,285.77	$1,624.55	$2,954.90