Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.89 / $1,804.79 / $4,846.00	Facility		$1,631.89	$1,804.79	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.32 / $1,706.58 / $2,300.17	Professional		$1,569.32	$1,706.58	$2,300.17
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 $1,321.04 / $1,651.30 / $2,278.79	Professional		$1,321.04	$1,651.30	$2,278.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,503.99 / $1,955.19 / $2,255.98	Facility		$1,503.99	$1,955.19	$2,255.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,503.99 / $1,804.79 / $2,255.98	Professional		$1,503.99	$1,804.79	$2,255.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,948.55	Facility		$761.00	$761.00	$1,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.03 / $1,993.70 / $3,417.80	Professional		$1,538.03	$1,993.70	$3,417.80
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 $1,441.27 / $1,855.64 / $2,977.52	Professional		$1,441.27	$1,855.64	$2,977.52