Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.96 / $3,115.69 / $17,225.00	Facility		$1,175.96	$3,115.69	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,175.96 / $1,636.64	Professional		$1,065.00	$1,175.96	$1,636.64
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 $1,077.92 / $1,347.40 / $1,859.41	Professional		$1,077.92	$1,347.40	$1,859.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,229.31 / $1,735.50 / $2,603.25	Facility		$1,229.31	$1,735.50	$2,603.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,214.84 / $1,504.10 / $2,082.60	Professional		$1,214.84	$1,504.10	$2,082.60
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 $1,045.07 / $1,543.29 / $2,702.49	Professional		$1,045.07	$1,543.29	$2,702.49
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 $1,180.05 / $1,402.63 / $2,472.42	Professional		$1,180.05	$1,402.63	$2,472.42