Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.54 / $1,389.49 / $4,846.00	Facility		$1,254.54	$1,389.49	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $1,308.88 / $1,768.30	Professional		$1,208.00	$1,308.88	$1,768.30
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 $961.60 / $1,202.00 / $1,658.76	Professional		$961.60	$1,202.00	$1,658.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.91 / $1,505.28 / $1,736.87	Facility		$1,157.91	$1,505.28	$1,736.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,157.91 / $1,389.49 / $1,736.87	Professional		$1,157.91	$1,389.49	$1,736.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,494.88	Facility		$761.00	$761.00	$1,494.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.85 / $1,508.60 / $2,618.40	Professional		$1,141.85	$1,508.60	$2,618.40
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 $1,103.77 / $1,422.36 / $2,716.88	Professional		$1,103.77	$1,422.36	$2,716.88