Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.48 / $1,387.52 / $4,846.00	Facility		$1,259.48	$1,387.52	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.76 / $1,345.62 / $1,775.26	Professional		$1,245.76	$1,345.62	$1,775.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.76 / $11,305.00 / $30,091.00	Facility		$1,775.76	$11,305.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,263.24 / $1,775.76 / $2,397.27	Professional		$1,263.24	$1,775.76	$2,397.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,156.27 / $1,503.15 / $1,734.41	Facility		$1,156.27	$1,503.15	$1,734.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,156.27 / $1,387.52 / $1,734.41	Professional		$1,156.27	$1,387.52	$1,734.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,507.97	Facility		$761.00	$761.00	$1,507.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.64 / $1,780.72 / $2,746.08	Professional		$1,256.64	$1,780.72	$2,746.08
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 $1,188.70 / $1,597.91 / $2,763.35	Professional		$1,188.70	$1,597.91	$2,763.35