Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.33 / $3,500.00 / $17,225.00	Facility		$1,420.33	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.33 / $1,503.25 / $1,702.32	Professional		$1,420.33	$1,503.25	$1,702.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,209.00 / $10,923.00 / $20,184.00	Facility		$4,209.00	$10,923.00	$20,184.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.92 / $1,477.40 / $1,990.35	Professional		$1,181.92	$1,477.40	$1,990.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,361.86 / $1,823.19 / $2,757.77	Facility		$1,361.86	$1,823.19	$2,757.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,361.86 / $1,702.33 / $2,451.35	Professional		$1,361.86	$1,702.33	$2,451.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $1,260.00 / $2,126.90	Facility		$880.00	$1,260.00	$2,126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.83 / $1,561.98 / $2,652.78	Professional		$1,090.83	$1,561.98	$2,652.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $7,818.00 / $11,038.00	Facility		$2,029.00	$7,818.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.32 / $1,574.92 / $2,656.82	Professional		$1,212.32	$1,574.92	$2,656.82