Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.19 / $3,000.00 / $11,093.00	Facility		$1,316.19	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.57 / $1,354.32 / $1,744.07	Professional		$1,253.57	$1,354.32	$1,744.07
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 $1,200.64 / $1,800.50 / $2,484.69	Professional		$1,200.64	$1,800.50	$2,484.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,280.17 / $1,664.22 / $1,920.26	Facility		$1,280.17	$1,664.22	$1,920.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,280.17 / $1,536.20 / $1,920.26	Professional		$1,280.17	$1,536.20	$1,920.26
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 $1,381.96 / $1,811.14 / $2,922.42	Professional		$1,381.96	$1,811.14	$2,922.42
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 $1,196.08 / $1,643.92 / $2,738.82	Professional		$1,196.08	$1,643.92	$2,738.82