Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.54 / $1,647.53 / $4,846.00	Facility		$1,496.54	$1,647.53	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.88 / $1,585.78 / $2,137.91	Professional		$1,477.88	$1,585.78	$2,137.91
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 $1,587.95 / $2,387.19 / $3,294.33	Professional		$1,587.95	$2,387.19	$3,294.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.94 / $1,784.82 / $2,059.41	Facility		$1,372.94	$1,784.82	$2,059.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,372.94 / $1,647.53 / $2,059.41	Professional		$1,372.94	$1,647.53	$2,059.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,795.73	Facility		$761.00	$761.00	$1,795.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.58 / $2,232.17 / $3,295.10	Professional		$1,516.58	$2,232.17	$3,295.10
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 $1,429.40 / $1,832.89 / $3,105.62	Professional		$1,429.40	$1,832.89	$3,105.62