Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.60 / $1,386.65 / $4,846.00	Facility		$1,251.60	$1,386.65	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.58 / $1,310.33 / $1,764.18	Professional		$1,216.58	$1,310.33	$1,764.18
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 $1,006.32 / $1,257.90 / $1,735.90	Professional		$1,006.32	$1,257.90	$1,735.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,155.54 / $1,502.20 / $1,733.31	Facility		$1,155.54	$1,502.20	$1,733.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,155.54 / $1,386.65 / $1,733.31	Professional		$1,155.54	$1,386.65	$1,733.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,491.88	Facility		$761.00	$761.00	$1,491.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.08 / $1,573.06 / $2,627.65	Professional		$1,181.08	$1,573.06	$2,627.65
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 $1,140.35 / $1,444.22 / $2,510.85	Professional		$1,140.35	$1,444.22	$2,510.85