Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,557.67 / $11,093.00	Facility		$1,386.00	$2,557.67	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,520.71 / $1,694.24 / $2,571.60	Professional		$1,520.71	$1,694.24	$2,571.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.40 / $1,654.16 / $2,305.71	Professional		$1,286.40	$1,654.16	$2,305.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.42 / $1,947.24 / $2,270.13	Facility		$1,513.42	$1,947.24	$2,270.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.42 / $1,816.10 / $2,270.13	Professional		$1,513.42	$1,816.10	$2,270.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.60 / $1,863.66 / $3,267.29	Professional		$1,303.60	$1,863.66	$3,267.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.51 / $2,045.64 / $3,535.59	Professional		$1,322.51	$2,045.64	$3,535.59