Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.86 / $1,386.00 / $4,846.00	Facility		$1,228.86	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.08 / $1,288.75 / $1,732.12	Professional		$1,183.08	$1,288.75	$1,732.12
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 $1,064.80 / $1,331.00 / $1,836.78	Professional		$1,064.80	$1,331.00	$1,836.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.33 / $1,474.63 / $1,701.50	Facility		$1,134.33	$1,474.63	$1,701.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,134.33 / $1,361.20 / $1,701.50	Professional		$1,134.33	$1,361.20	$1,701.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,463.94	Facility		$761.00	$761.00	$1,463.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.06 / $1,526.27 / $2,582.57	Professional		$1,216.06	$1,526.27	$2,582.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $18,764.00	Facility		$2,529.00	$9,550.00	$18,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.58 / $1,411.75 / $2,744.75	Professional		$1,114.58	$1,411.75	$2,744.75