Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.83 / $2,453.00 / $16,042.00	Facility		$1,061.83	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.06 / $1,061.83 / $1,477.80	Professional		$972.06	$1,061.83	$1,477.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,700.00 / $17,513.00	Facility		$3,719.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.24 / $1,357.80 / $1,873.76	Professional		$1,086.24	$1,357.80	$1,873.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,110.56 / $1,567.85 / $2,351.78	Facility		$1,110.56	$1,567.85	$2,351.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,097.49 / $1,358.80 / $1,881.42	Professional		$1,097.49	$1,358.80	$1,881.42
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 $1,094.60 / $1,437.41 / $2,482.38	Professional		$1,094.60	$1,437.41	$2,482.38
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 $1,089.57 / $1,298.77 / $2,289.35	Professional		$1,089.57	$1,298.77	$2,289.35