Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.74 / $1,609.24 / $4,846.00	Facility		$1,454.74	$1,609.24	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.66 / $1,522.47 / $2,050.48	Professional		$1,428.66	$1,522.47	$2,050.48
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 $1,072.49 / $1,261.76 / $1,791.69	Professional		$1,072.49	$1,261.76	$1,791.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,341.03 / $1,743.34 / $2,011.55	Facility		$1,341.03	$1,743.34	$2,011.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,341.03 / $1,609.24 / $2,011.55	Professional		$1,341.03	$1,609.24	$2,011.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,734.82	Facility		$761.00	$761.00	$1,734.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.99 / $1,780.81 / $3,057.01	Professional		$1,300.99	$1,780.81	$3,057.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $11,200.00 / $17,416.00	Facility		$3,300.00	$11,200.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.19 / $1,708.99 / $2,971.96	Professional		$1,282.19	$1,708.99	$2,971.96