Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.08 / $1,176.10 / $4,846.00	Facility		$1,083.08	$1,176.10	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.30 / $1,132.29 / $1,461.02	Professional		$991.30	$1,132.29	$1,461.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $10,577.42 / $18,643.75	Facility		$5,091.00	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.33 / $1,440.30 / $1,987.61	Professional		$1,147.33	$1,440.30	$1,987.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.60 / $1,232.78 / $1,981.26	Facility		$935.60	$1,232.78	$1,981.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $924.59 / $1,144.73 / $1,585.01	Professional		$924.59	$1,144.73	$1,585.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.45 / $1,470.96 / $3,108.32	Professional		$1,004.45	$1,470.96	$3,108.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.96 / $1,320.84 / $2,041.28	Professional		$957.96	$1,320.84	$2,041.28