Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.49 / $1,917.32 / $4,846.00	Facility		$1,733.49	$1,917.32	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.41 / $1,825.61 / $2,443.40	Professional		$1,667.41	$1,825.61	$2,443.40
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 $1,476.80 / $1,846.00 / $2,547.48	Professional		$1,476.80	$1,846.00	$2,547.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,597.77 / $2,077.10 / $2,396.66	Facility		$1,597.77	$2,077.10	$2,396.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,597.77 / $1,837.44 / $2,396.66	Professional		$1,597.77	$1,837.44	$2,396.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,068.42	Facility		$761.00	$761.00	$2,068.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,690.31 / $2,115.09 / $3,617.69	Professional		$1,690.31	$2,115.09	$3,617.69
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 $1,588.48 / $1,983.23 / $3,620.19	Professional		$1,588.48	$1,983.23	$3,620.19