Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.82 / $1,465.86 / $4,846.00	Facility		$1,325.82	$1,465.86	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.79 / $1,393.78 / $1,868.78	Professional		$1,312.79	$1,393.78	$1,868.78
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 $1,157.02 / $1,440.30 / $1,987.61	Professional		$1,157.02	$1,440.30	$1,987.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,221.55 / $1,588.02 / $1,832.33	Facility		$1,221.55	$1,588.02	$1,832.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,221.55 / $1,401.73 / $1,832.33	Professional		$1,221.55	$1,401.73	$1,832.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,584.30	Facility		$761.00	$761.00	$1,584.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.25 / $1,731.49 / $2,900.52	Professional		$1,320.25	$1,731.49	$2,900.52
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 $1,229.78 / $1,581.71 / $2,659.73	Professional		$1,229.78	$1,581.71	$2,659.73