Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $4,846.00 / $7,232.30	Facility		$2,318.00	$4,846.00	$7,232.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,613.42 / $4,962.47 / $6,587.43	Professional		$4,613.42	$4,962.47	$6,587.43
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 $2,273.48 / $2,674.70 / $4,220.68	Professional		$2,273.48	$2,674.70	$4,220.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,279.47 / $5,563.31 / $6,419.21	Facility		$4,279.47	$5,563.31	$6,419.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,279.47 / $5,135.35 / $6,419.21	Professional		$4,279.47	$5,135.35	$6,419.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $5,609.84	Facility		$761.00	$761.00	$5,609.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,320.77 / $5,179.72 / $9,709.73	Professional		$2,320.77	$5,179.72	$9,709.73
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 $3,729.88 / $5,381.98 / $9,138.81	Professional		$3,729.88	$5,381.98	$9,138.81