Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.14 / $1,570.10 / $2,611.19	Facility		$1,256.14	$1,570.10	$2,611.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.61 / $1,533.21 / $2,054.64	Professional		$1,229.61	$1,533.21	$2,054.64
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 $1,312.26 / $2,163.02 / $2,920.07	Professional		$1,312.26	$2,163.02	$2,920.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,225.08 / $1,592.60 / $2,064.04	Facility		$1,225.08	$1,592.60	$2,064.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,545.09 / $1,776.85 / $2,317.64	Professional		$1,545.09	$1,776.85	$2,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.65 / $1,012.65 / $1,200.39	Facility		$1,012.65	$1,012.65	$1,200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.31 / $2,080.71 / $3,596.65	Professional		$1,481.31	$2,080.71	$3,596.65
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 $1,492.93 / $1,978.58 / $3,449.36	Professional		$1,492.93	$1,978.58	$3,449.36