Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.21 / $3,500.00 / $17,225.00	Facility		$1,452.21	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.04 / $1,452.21 / $2,021.12	Professional		$1,322.04	$1,452.21	$2,021.12
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 $1,382.24 / $1,727.80 / $2,384.36	Professional		$1,382.24	$1,727.80	$2,384.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,519.43 / $2,145.08 / $3,217.62	Facility		$1,519.43	$2,145.08	$3,217.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,501.55 / $1,859.07 / $2,574.09	Professional		$1,501.55	$1,859.07	$2,574.09
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 $1,402.06 / $1,910.83 / $3,354.36	Professional		$1,402.06	$1,910.83	$3,354.36
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 $1,476.49 / $1,723.81 / $3,532.34	Professional		$1,476.49	$1,723.81	$3,532.34