Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,634.14 / $1,806.97 / $4,846.00	Facility		$1,634.14	$1,806.97	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.81 / $1,656.47 / $2,227.67	Professional		$1,505.81	$1,656.47	$2,227.67
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 $1,626.49 / $2,676.10 / $3,693.01	Professional		$1,626.49	$2,676.10	$3,693.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,589.64 / $2,066.53 / $2,384.46	Facility		$1,589.64	$2,066.53	$2,384.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,589.64 / $1,907.57 / $2,384.46	Professional		$1,589.64	$1,907.57	$2,384.46
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 $1,815.84 / $2,708.71 / $4,227.64	Professional		$1,815.84	$2,708.71	$4,227.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.38 / $2,034.15 / $3,616.48	Professional		$1,479.38	$2,034.15	$3,616.48