Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.84 / $1,975.76 / $4,846.00	Facility		$1,789.84	$1,975.76	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.03 / $1,875.69 / $2,522.82	Professional		$1,718.03	$1,875.69	$2,522.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.43 / $1,391.10 / $1,975.36	Professional		$1,182.43	$1,391.10	$1,975.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,646.47 / $2,140.41 / $2,469.71	Facility		$1,646.47	$2,140.41	$2,469.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,646.47 / $1,975.76 / $2,469.71	Professional		$1,646.47	$1,975.76	$2,469.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,130.71	Facility		$761.00	$761.00	$2,130.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.33 / $2,163.00 / $3,708.03	Professional		$1,509.33	$2,163.00	$3,708.03
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 $1,546.29 / $2,035.67 / $3,590.59	Professional		$1,546.29	$2,035.67	$3,590.59