Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.74 / $1,748.63 / $4,846.00	Facility		$1,579.74	$1,748.63	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,520.00 / $1,655.22 / $2,226.67	Professional		$1,520.00	$1,655.22	$2,226.67
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 $1,302.72 / $1,628.40 / $2,247.19	Professional		$1,302.72	$1,628.40	$2,247.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,457.19 / $1,894.35 / $2,185.79	Facility		$1,457.19	$1,894.35	$2,185.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,457.19 / $1,748.63 / $2,185.79	Professional		$1,457.19	$1,748.63	$2,185.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,882.07	Facility		$761.00	$761.00	$1,882.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.87 / $1,953.02 / $3,280.36	Professional		$1,513.87	$1,953.02	$3,280.36
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $12,027.00	Facility		$612.00	$5,076.00	$12,027.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,368.23 / $1,762.06 / $3,134.74	Professional		$1,368.23	$1,762.06	$3,134.74