Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.70 / $1,958.99 / $4,846.00	Facility		$1,775.70	$1,958.99	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,722.04 / $1,843.69 / $2,526.19	Professional		$1,722.04	$1,843.69	$2,526.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $8,980.45 / $14,278.45	Facility		$4,600.00	$8,980.45	$14,278.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.52 / $2,029.40 / $2,800.57	Professional		$1,623.52	$2,029.40	$2,800.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,632.49 / $2,122.23 / $2,448.73	Facility		$1,632.49	$2,122.23	$2,448.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,632.49 / $1,958.99 / $2,448.73	Professional		$1,632.49	$1,958.99	$2,448.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,055.25	Facility		$761.00	$761.00	$2,055.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,741.39 / $2,205.00 / $3,758.46	Professional		$1,741.39	$2,205.00	$3,758.46
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 $1,636.91 / $2,055.46 / $3,562.22	Professional		$1,636.91	$2,055.46	$3,562.22