Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.02 / $1,767.50 / $7,212.00	Facility		$1,073.02	$1,767.50	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.02 / $1,146.19 / $1,512.96	Professional		$1,073.02	$1,146.19	$1,512.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.00 / $6,340.00 / $15,727.00	Facility		$2,796.00	$6,340.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,091.11 / $1,363.90 / $1,882.18	Professional		$1,091.11	$1,363.90	$1,882.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,066.78 / $1,359.62 / $1,568.79	Facility		$1,066.78	$1,359.62	$1,568.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,045.85 / $1,255.03 / $1,568.79	Professional		$1,045.85	$1,255.03	$1,568.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,379.37 / $3,379.37 / $3,379.37	Facility		$3,379.37	$3,379.37	$3,379.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.44 / $1,439.98 / $2,388.19	Professional		$1,055.44	$1,439.98	$2,388.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $8,348.00 / $11,284.00	Facility		$3,200.00	$8,348.00	$11,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.68 / $1,329.56 / $2,260.21	Professional		$1,105.68	$1,329.56	$2,260.21