Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.65 / $2,453.00 / $16,042.00	Facility		$1,301.65	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.65 / $1,374.52 / $1,548.00	Professional		$1,301.65	$1,374.52	$1,548.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.00 / $10,284.00 / $16,778.00	Facility		$3,536.00	$10,284.00	$16,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,026.16 / $1,282.70 / $1,728.05	Professional		$1,026.16	$1,282.70	$1,728.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.40 / $1,657.91 / $2,507.76	Facility		$1,238.40	$1,657.91	$2,507.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,238.40 / $1,548.00 / $2,229.12	Professional		$1,238.40	$1,548.00	$2,229.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $908.00 / $2,126.90	Facility		$630.00	$908.00	$2,126.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.05 / $1,403.85 / $2,309.01	Professional		$1,000.05	$1,403.85	$2,309.01
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 $1,048.51 / $1,400.61 / $2,330.07	Professional		$1,048.51	$1,400.61	$2,330.07