Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.66 / $1,878.86 / $14,063.00	Facility		$1,204.66	$1,878.86	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.20 / $1,263.09 / $1,697.99	Professional		$1,120.20	$1,263.09	$1,697.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $20,160.00 / $45,778.00	Facility		$1,500.00	$20,160.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $921.12 / $1,151.40 / $1,588.93	Professional		$921.12	$1,151.40	$1,588.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,111.75 / $1,445.28 / $1,667.63	Facility		$1,111.75	$1,445.28	$1,667.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.75 / $1,334.10 / $1,667.63	Professional		$1,111.75	$1,334.10	$1,667.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,434.80	Facility		$761.00	$761.00	$1,434.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,136.68 / $1,458.25 / $2,514.46	Professional		$1,136.68	$1,458.25	$2,514.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $13,594.00 / $19,477.00	Facility		$4,000.00	$13,594.00	$19,477.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.43 / $1,360.69 / $2,278.35	Professional		$1,098.43	$1,360.69	$2,278.35