Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.91 / $2,453.00 / $16,042.00	Facility		$1,262.91	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.91 / $1,333.47 / $1,502.20	Professional		$1,262.91	$1,333.47	$1,502.20
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 $1,043.98 / $1,339.50 / $1,804.57	Professional		$1,043.98	$1,339.50	$1,804.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,201.76 / $1,608.86 / $2,433.57	Facility		$1,201.76	$1,608.86	$2,433.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,201.76 / $1,502.20 / $2,163.17	Professional		$1,201.76	$1,502.20	$2,163.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $908.00 / $2,695.78	Facility		$630.00	$908.00	$2,695.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.12 / $1,400.58 / $2,237.31	Professional		$970.12	$1,400.58	$2,237.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,043.00 / $6,275.00 / $10,769.00	Facility		$2,043.00	$6,275.00	$10,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.21 / $1,373.24 / $2,483.07	Professional		$1,011.21	$1,373.24	$2,483.07