Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.65 / $1,509.11 / $4,846.00	Facility		$1,365.65	$1,509.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.43 / $1,436.59 / $1,924.91	Professional		$1,351.43	$1,436.59	$1,924.91
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 $1,140.64 / $1,425.80 / $1,967.60	Professional		$1,140.64	$1,425.80	$1,967.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,257.58 / $1,634.87 / $1,886.39	Facility		$1,257.58	$1,634.87	$1,886.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,257.58 / $1,443.08 / $1,886.39	Professional		$1,257.58	$1,443.08	$1,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,630.92	Facility		$761.00	$761.00	$1,630.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.78 / $1,724.69 / $2,869.83	Professional		$1,245.78	$1,724.69	$2,869.83
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 $1,280.42 / $1,628.98 / $2,804.88	Professional		$1,280.42	$1,628.98	$2,804.88