Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.96 / $3,500.00 / $17,225.00	Facility		$1,427.96	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.10 / $1,427.96 / $1,987.36	Professional		$1,293.10	$1,427.96	$1,987.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,222.80 / $1,528.50 / $2,109.33	Professional		$1,222.80	$1,528.50	$2,109.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,491.76 / $2,106.02 / $3,159.03	Facility		$1,491.76	$2,106.02	$3,159.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,432.09 / $1,755.01 / $2,527.21	Professional		$1,432.09	$1,755.01	$2,527.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.81 / $1,843.72 / $3,228.03	Professional		$1,254.81	$1,843.72	$3,228.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,421.24 / $1,678.63 / $3,059.57	Professional		$1,421.24	$1,678.63	$3,059.57