Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.45 / $3,000.00 / $11,093.00	Facility		$1,167.45	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.67 / $1,167.45 / $1,546.57	Professional		$1,090.67	$1,167.45	$1,546.57
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 $1,072.06 / $1,513.00 / $2,087.94	Professional		$1,072.06	$1,513.00	$2,087.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,135.32 / $1,475.92 / $1,702.98	Facility		$1,135.32	$1,475.92	$1,702.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,135.32 / $1,254.53 / $1,702.98	Professional		$1,135.32	$1,254.53	$1,702.98
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 $1,193.77 / $1,593.26 / $2,600.27	Professional		$1,193.77	$1,593.26	$2,600.27
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 $1,049.71 / $1,399.78 / $2,426.30	Professional		$1,049.71	$1,399.78	$2,426.30