Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.39 / $3,050.59 / $17,225.00	Facility		$1,151.39	$3,050.59	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.03 / $1,151.39 / $1,602.45	Professional		$1,042.03	$1,151.39	$1,602.45
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 $1,040.80 / $1,301.00 / $1,795.38	Professional		$1,040.80	$1,301.00	$1,795.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,203.19 / $1,698.62 / $2,547.92	Facility		$1,203.19	$1,698.62	$2,547.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,189.03 / $1,472.13 / $2,038.34	Professional		$1,189.03	$1,472.13	$2,038.34
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 $1,009.74 / $1,501.67 / $2,689.42	Professional		$1,009.74	$1,501.67	$2,689.42
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 $1,134.76 / $1,395.37 / $2,770.98	Professional		$1,134.76	$1,395.37	$2,770.98