Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,143.80 / $2,342.17 / $4,846.00	Facility		$2,143.80	$2,342.17	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.83 / $2,177.48 / $3,021.74	Professional		$2,015.83	$2,177.48	$3,021.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $16,821.03 / $25,253.12	Facility		$4,838.00	$16,821.03	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,709.76 / $2,137.19 / $2,949.33	Professional		$1,709.76	$2,137.19	$2,949.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,990.85 / $2,537.35 / $2,927.72	Facility		$1,990.85	$2,537.35	$2,927.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,951.81 / $2,258.52 / $2,927.72	Professional		$1,951.81	$2,258.52	$2,927.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,429.19	Facility		$761.00	$761.00	$2,429.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,695.75 / $2,539.08 / $4,470.39	Professional		$1,695.75	$2,539.08	$4,470.39
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 $1,868.55 / $2,408.86 / $4,714.54	Professional		$1,868.55	$2,408.86	$4,714.54