Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,648.23 / $1,997.69 / $3,332.53	Facility		$1,648.23	$1,997.69	$3,332.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,614.19 / $1,939.55 / $2,681.19	Professional		$1,614.19	$1,939.55	$2,681.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,338.00 / $26,304.00	Facility		$2,310.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.28 / $2,883.27 / $3,892.41	Professional		$1,771.28	$2,883.27	$3,892.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,648.75 / $2,473.13 / $3,394.49	Facility		$1,648.75	$2,473.13	$3,394.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,971.91 / $2,464.89 / $3,549.44	Professional		$1,971.91	$2,464.89	$3,549.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.58 / $1,208.58 / $1,432.67	Facility		$1,208.58	$1,208.58	$1,432.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.73 / $2,683.85 / $4,535.39	Professional		$1,952.73	$2,683.85	$4,535.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,925.85 / $2,541.90 / $4,498.14	Professional		$1,925.85	$2,541.90	$4,498.14