Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,949.36 / $4,846.00	Facility		$2,318.00	$2,949.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,512.84 / $2,752.27 / $3,807.33	Professional		$2,512.84	$2,752.27	$3,807.33
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 $2,051.60 / $2,564.50 / $3,539.01	Professional		$2,051.60	$2,564.50	$3,539.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,457.80 / $3,195.14 / $3,686.70	Facility		$2,457.80	$3,195.14	$3,686.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,457.80 / $2,949.36 / $3,686.70	Professional		$2,457.80	$2,949.36	$3,686.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,064.82	Facility		$761.00	$761.00	$3,064.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,134.42 / $3,191.02 / $5,638.63	Professional		$2,134.42	$3,191.02	$5,638.63
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 $2,364.60 / $3,017.75 / $5,782.01	Professional		$2,364.60	$3,017.75	$5,782.01