Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.98 / $2,343.52 / $4,846.00	Facility		$2,123.98	$2,343.52	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,099.80 / $2,241.28 / $2,993.79	Professional		$2,099.80	$2,241.28	$2,993.79
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 $1,942.00 / $2,427.50 / $3,349.95	Professional		$1,942.00	$2,427.50	$3,349.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,952.93 / $2,538.81 / $2,929.40	Facility		$1,952.93	$2,538.81	$2,929.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,952.93 / $2,343.52 / $2,929.40	Professional		$1,952.93	$2,343.52	$2,929.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,543.44	Facility		$761.00	$761.00	$2,543.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,126.65 / $2,703.39 / $4,583.85	Professional		$2,126.65	$2,703.39	$4,583.85
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 $2,000.39 / $2,518.14 / $4,260.89	Professional		$2,000.39	$2,518.14	$4,260.89