Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.73 / $1,478.64 / $4,846.00	Facility		$1,335.73	$1,478.64	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,285.48 / $1,403.88 / $1,882.75	Professional		$1,285.48	$1,403.88	$1,882.75
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 $1,107.59 / $1,384.50 / $1,910.61	Professional		$1,107.59	$1,384.50	$1,910.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,256.83 / $1,601.86 / $1,848.30	Facility		$1,256.83	$1,601.86	$1,848.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $1,478.64 / $1,848.30	Professional		$1,232.20	$1,478.64	$1,848.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,592.05	Facility		$761.00	$761.00	$1,592.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.97 / $1,668.13 / $2,803.63	Professional		$1,245.97	$1,668.13	$2,803.63
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 $1,210.75 / $1,534.25 / $2,896.37	Professional		$1,210.75	$1,534.25	$2,896.37