Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.45 / $1,529.75 / $4,846.00	Facility		$1,382.45	$1,529.75	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.30 / $1,450.70 / $1,948.60	Professional		$1,347.30	$1,450.70	$1,948.60
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 $1,029.84 / $1,219.49 / $1,731.67	Professional		$1,029.84	$1,219.49	$1,731.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,274.79 / $1,657.23 / $1,912.19	Facility		$1,274.79	$1,657.23	$1,912.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,274.79 / $1,529.75 / $1,912.19	Professional		$1,274.79	$1,529.75	$1,912.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,648.58	Facility		$761.00	$761.00	$1,648.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.79 / $1,703.12 / $2,902.96	Professional		$1,299.79	$1,703.12	$2,902.96
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 $1,261.38 / $1,598.34 / $2,898.79	Professional		$1,261.38	$1,598.34	$2,898.79