Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.11 / $1,378.67 / $4,846.00	Facility		$1,237.11	$1,378.67	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.83 / $1,296.26 / $1,743.75	Professional		$1,218.83	$1,296.26	$1,743.75
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 $1,245.96 / $1,678.10 / $2,265.42	Professional		$1,245.96	$1,678.10	$2,265.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,141.35 / $1,483.77 / $1,712.04	Facility		$1,141.35	$1,483.77	$1,712.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,141.35 / $1,369.63 / $1,712.04	Professional		$1,141.35	$1,369.63	$1,712.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,474.51	Facility		$761.00	$761.00	$1,474.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.29 / $1,649.50 / $2,665.87	Professional		$1,292.29	$1,649.50	$2,665.87
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 $1,154.65 / $1,487.55 / $2,589.57	Professional		$1,154.65	$1,487.55	$2,589.57