Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,136.69 / $2,358.01 / $4,846.00	Facility		$2,136.69	$2,358.01	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,998.82 / $2,241.78 / $3,011.74	Professional		$1,998.82	$2,241.78	$3,011.74
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 $1,947.72 / $2,967.09 / $4,116.59	Professional		$1,947.72	$2,967.09	$4,116.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,004.31 / $2,554.51 / $2,947.52	Facility		$2,004.31	$2,554.51	$2,947.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,965.01 / $2,358.01 / $2,947.52	Professional		$1,965.01	$2,358.01	$2,947.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,540.38	Facility		$761.00	$761.00	$2,540.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.54 / $2,603.09 / $4,389.75	Professional		$2,049.54	$2,603.09	$4,389.75
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 $1,960.51 / $2,462.46 / $4,286.43	Professional		$1,960.51	$2,462.46	$4,286.43