Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,904.68 / $7,954.00	Facility		$2,318.00	$3,904.68	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,500.40 / $3,735.43 / $4,991.87	Professional		$3,500.40	$3,735.43	$4,991.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $11,305.00 / $30,091.00	Facility		$1,935.00	$11,305.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,942.69 / $3,461.99 / $4,777.54	Professional		$2,942.69	$3,461.99	$4,777.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,253.90 / $4,230.07 / $4,880.85	Facility		$3,253.90	$4,230.07	$4,880.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,253.90 / $3,904.68 / $4,880.85	Professional		$3,253.90	$3,904.68	$4,880.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $4,232.83	Facility		$761.00	$761.00	$4,232.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,502.63 / $4,735.43 / $7,336.31	Professional		$3,502.63	$4,735.43	$7,336.31
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 $3,368.55 / $4,359.30 / $7,383.35	Professional		$3,368.55	$4,359.30	$7,383.35