Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.83 / $1,438.20 / $4,846.00	Facility		$1,298.83	$1,438.20	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.16 / $1,364.89 / $1,830.75	Professional		$1,250.16	$1,364.89	$1,830.75
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 $1,075.35 / $1,344.20 / $1,854.99	Professional		$1,075.35	$1,344.20	$1,854.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,198.50 / $1,558.05 / $1,797.75	Facility		$1,198.50	$1,558.05	$1,797.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.50 / $1,438.20 / $1,797.75	Professional		$1,198.50	$1,438.20	$1,797.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,547.29	Facility		$761.00	$761.00	$1,547.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,615.00 / $2,711.51	Professional		$1,251.00	$1,615.00	$2,711.51
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 $1,186.79 / $1,485.62 / $2,605.60	Professional		$1,186.79	$1,485.62	$2,605.60