Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.26 / $1,924.70 / $4,846.00	Facility		$1,747.26	$1,924.70	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,636.86 / $1,786.84 / $2,462.80	Professional		$1,636.86	$1,786.84	$2,462.80
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 $1,581.44 / $1,976.80 / $2,727.98	Professional		$1,581.44	$1,976.80	$2,727.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,603.92 / $2,085.10 / $2,405.88	Facility		$1,603.92	$2,085.10	$2,405.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,603.92 / $1,880.16 / $2,405.88	Professional		$1,603.92	$1,880.16	$2,405.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,014.84	Facility		$761.00	$761.00	$2,014.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.92 / $2,084.29 / $3,648.74	Professional		$1,653.92	$2,084.29	$3,648.74
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 $1,552.23 / $1,963.17 / $3,322.39	Professional		$1,552.23	$1,963.17	$3,322.39