Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.88 / $1,386.00 / $4,846.00	Facility		$1,058.88	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.74 / $1,080.43 / $1,448.60	Professional		$1,020.74	$1,080.43	$1,448.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.04 / $1,046.30 / $1,443.89	Professional		$837.04	$1,046.30	$1,443.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,025.75 / $1,333.48 / $1,538.63	Facility		$1,025.75	$1,333.48	$1,538.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,025.75 / $1,230.90 / $1,538.63	Professional		$1,025.75	$1,230.90	$1,538.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,325.54	Facility		$761.00	$761.00	$1,325.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.85 / $1,310.50 / $2,319.63	Professional		$940.85	$1,310.50	$2,319.63
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.77 / $1,232.14 / $2,090.19	Professional		$938.77	$1,232.14	$2,090.19