Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.48 / $2,622.63 / $14,063.00	Facility		$1,020.48	$2,622.63	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.63 / $1,020.48 / $1,343.59	Professional		$946.63	$1,020.48	$1,343.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,641.00 / $8,512.00 / $16,307.00	Facility		$3,641.00	$8,512.00	$16,307.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.21 / $1,332.90 / $1,839.40	Professional		$977.21	$1,332.90	$1,839.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.21 / $1,270.36 / $1,465.82	Facility		$977.21	$1,270.36	$1,465.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.21 / $1,172.65 / $1,465.82	Professional		$977.21	$1,172.65	$1,465.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.09 / $5,248.09 / $6,221.10	Facility		$5,248.09	$5,248.09	$6,221.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.11 / $1,389.48 / $2,277.31	Professional		$1,060.11	$1,389.48	$2,277.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.33 / $1,224.07 / $2,079.50	Professional		$910.33	$1,224.07	$2,079.50