Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.58 / $3,000.00 / $11,093.00	Facility		$1,221.58	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.39 / $1,221.58 / $1,618.66	Professional		$1,160.39	$1,221.58	$1,618.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $7,200.00 / $15,727.00	Facility		$3,309.00	$7,200.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,098.83 / $1,598.40 / $2,205.79	Professional		$1,098.83	$1,598.40	$2,205.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,187.07 / $1,543.19 / $1,780.61	Facility		$1,187.07	$1,543.19	$1,780.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,187.07 / $1,424.48 / $1,780.61	Professional		$1,187.07	$1,424.48	$1,780.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,140.62 / $4,140.62 / $4,908.29	Facility		$4,140.62	$4,140.62	$4,908.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.65 / $1,657.18 / $2,669.86	Professional		$1,248.65	$1,657.18	$2,669.86
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 $1,086.58 / $1,427.42 / $2,563.80	Professional		$1,086.58	$1,427.42	$2,563.80