Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.42 / $1,403.36 / $4,846.00	Facility		$1,269.42	$1,403.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.33 / $1,334.17 / $1,789.28	Professional		$1,256.33	$1,334.17	$1,789.28
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 $1,174.72 / $1,468.40 / $2,026.39	Professional		$1,174.72	$1,468.40	$2,026.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,169.47 / $1,520.31 / $1,754.21	Facility		$1,169.47	$1,520.31	$1,754.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,169.47 / $1,403.36 / $1,754.21	Professional		$1,169.47	$1,403.36	$1,754.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,514.70	Facility		$761.00	$761.00	$1,514.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.89 / $1,615.15 / $2,666.29	Professional		$1,273.89	$1,615.15	$2,666.29
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 $1,189.01 / $1,522.19 / $2,765.71	Professional		$1,189.01	$1,522.19	$2,765.71