Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,336.63 / $11,093.00	Facility		$1,386.00	$2,336.63	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.12 / $2,222.32 / $2,985.19	Professional		$1,999.12	$2,222.32	$2,985.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $8,980.45 / $14,278.45	Facility		$4,600.00	$8,980.45	$14,278.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,782.01 / $2,227.52 / $3,073.97	Professional		$1,782.01	$2,227.52	$3,073.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,947.19 / $2,531.35 / $2,920.79	Facility		$1,947.19	$2,531.35	$2,920.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,947.19 / $2,336.63 / $2,920.79	Professional		$1,947.19	$2,336.63	$2,920.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,515.92	Facility		$761.00	$761.00	$2,515.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,055.61 / $2,591.25 / $4,201.78	Professional		$2,055.61	$2,591.25	$4,201.78
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,876.94 / $2,336.63 / $4,181.47	Professional		$1,876.94	$2,336.63	$4,181.47