Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.68 / $1,131.23 / $4,846.00	Facility		$1,013.68	$1,131.23	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.60 / $1,061.65 / $1,428.80	Professional		$996.60	$1,061.65	$1,428.80
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 $876.88 / $1,096.09 / $1,512.61	Professional		$876.88	$1,096.09	$1,512.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.87 / $1,216.63 / $1,403.81	Facility		$935.87	$1,216.63	$1,403.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $935.87 / $1,123.04 / $1,403.81	Professional		$935.87	$1,123.04	$1,403.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,207.13	Facility		$761.00	$761.00	$1,207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.36 / $1,290.25 / $2,126.71	Professional		$966.36	$1,290.25	$2,126.71
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 $923.19 / $1,157.33 / $2,033.52	Professional		$923.19	$1,157.33	$2,033.52