Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.39 / $1,497.08 / $4,846.00	Facility		$1,352.39	$1,497.08	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.38 / $1,421.31 / $1,906.22	Professional		$1,301.38	$1,421.31	$1,906.22
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 $1,048.32 / $1,310.40 / $1,808.35	Professional		$1,048.32	$1,310.40	$1,808.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,247.57 / $1,621.84 / $1,871.36	Facility		$1,247.57	$1,621.84	$1,871.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,247.57 / $1,497.08 / $1,871.36	Professional		$1,247.57	$1,497.08	$1,871.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,612.09	Facility		$761.00	$761.00	$1,612.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.83 / $1,629.43 / $2,808.17	Professional		$1,232.83	$1,629.43	$2,808.17
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 $1,191.25 / $1,530.56 / $2,695.86	Professional		$1,191.25	$1,530.56	$2,695.86