Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.41 / $1,235.34 / $4,846.00	Facility		$1,116.41	$1,235.34	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.61 / $1,166.46 / $1,573.61	Professional		$1,060.61	$1,166.46	$1,573.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.00 / $5,444.94 / $7,747.00	Facility		$3,027.00	$5,444.94	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.65 / $804.30 / $1,142.09	Professional		$683.65	$804.30	$1,142.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.46 / $1,338.30 / $1,544.19	Facility		$1,029.46	$1,338.30	$1,544.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,029.46 / $1,235.34 / $1,544.19	Professional		$1,029.46	$1,235.34	$1,544.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,323.47	Facility		$761.00	$761.00	$1,323.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.14 / $1,315.33 / $2,272.07	Professional		$902.14	$1,315.33	$2,272.07
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.58 / $1,253.56 / $2,185.56	Professional		$945.58	$1,253.56	$2,185.56