Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.11 / $1,613.10 / $4,846.00	Facility		$1,458.11	$1,613.10	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.54 / $1,534.21 / $2,055.23	Professional		$1,402.54	$1,534.21	$2,055.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.68 / $1,329.60 / $1,834.84	Professional		$1,063.68	$1,329.60	$1,834.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,344.25 / $1,747.53 / $2,016.38	Facility		$1,344.25	$1,747.53	$2,016.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,344.25 / $1,613.10 / $2,016.38	Professional		$1,344.25	$1,613.10	$2,016.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,739.15	Facility		$761.00	$761.00	$1,739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.95 / $1,754.66 / $3,042.53	Professional		$1,269.95	$1,754.66	$3,042.53
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 $1,314.59 / $1,663.35 / $2,669.59	Professional		$1,314.59	$1,663.35	$2,669.59