Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.66 / $3,000.00 / $11,093.00	Facility		$1,381.66	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.66 / $1,386.49 / $1,842.21	Professional		$1,381.66	$1,386.49	$1,842.21
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 $1,493.52 / $1,866.91 / $2,576.33	Professional		$1,493.52	$1,866.91	$2,576.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,306.91 / $1,665.66 / $1,921.92	Facility		$1,306.91	$1,665.66	$1,921.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,281.28 / $1,473.47 / $1,921.92	Professional		$1,281.28	$1,473.47	$1,921.92
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 $1,359.66 / $1,841.70 / $3,042.99	Professional		$1,359.66	$1,841.70	$3,042.99
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 $1,374.26 / $1,707.67 / $2,997.39	Professional		$1,374.26	$1,707.67	$2,997.39