Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.22 / $1,912.07 / $4,846.00	Facility		$1,728.22	$1,912.07	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,662.34 / $1,809.26 / $2,435.96	Professional		$1,662.34	$1,809.26	$2,435.96
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 $1,431.04 / $1,788.80 / $2,468.54	Professional		$1,431.04	$1,788.80	$2,468.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,593.39 / $2,071.41 / $2,390.09	Facility		$1,593.39	$2,071.41	$2,390.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,593.39 / $1,832.40 / $2,390.09	Professional		$1,593.39	$1,832.40	$2,390.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,060.11	Facility		$761.00	$761.00	$2,060.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,644.90 / $2,159.85 / $3,584.72	Professional		$1,644.90	$2,159.85	$3,584.72
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 $1,578.49 / $1,954.60 / $3,466.97	Professional		$1,578.49	$1,954.60	$3,466.97