Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,076.46 / $2,305.57 / $4,846.00	Facility		$2,076.46	$2,305.57	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,925.79 / $2,166.84 / $2,926.82	Professional		$1,925.79	$2,166.84	$2,926.82
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 $1,390.71 / $1,730.10 / $2,456.73	Professional		$1,390.71	$1,730.10	$2,456.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,921.31 / $2,497.69 / $2,881.97	Facility		$1,921.31	$2,497.69	$2,881.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,921.31 / $2,305.57 / $2,881.97	Professional		$1,921.31	$2,305.57	$2,881.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,462.84	Facility		$761.00	$761.00	$2,462.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.16 / $2,392.87 / $4,134.87	Professional		$1,759.16	$2,392.87	$4,134.87
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 $1,805.14 / $2,336.96 / $4,131.27	Professional		$1,805.14	$2,336.96	$4,131.27