Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.36 / $1,670.50 / $4,846.00	Facility		$1,512.36	$1,670.50	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.86 / $1,547.67 / $2,131.71	Professional		$1,417.86	$1,547.67	$2,131.71
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 $1,266.32 / $1,582.90 / $2,184.40	Professional		$1,266.32	$1,582.90	$2,184.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,392.08 / $1,809.70 / $2,088.12	Facility		$1,392.08	$1,809.70	$2,088.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,392.08 / $1,670.50 / $2,088.12	Professional		$1,392.08	$1,670.50	$2,088.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,749.91	Facility		$761.00	$761.00	$1,749.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.92 / $1,836.58 / $3,155.37	Professional		$1,428.92	$1,836.58	$3,155.37
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 $1,357.50 / $1,695.63 / $3,033.93	Professional		$1,357.50	$1,695.63	$3,033.93