Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,854.00 / $16,042.00	Facility		$1,386.00	$1,854.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.63 / $1,483.01 / $1,995.21	Professional		$1,318.63	$1,483.01	$1,995.21
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 $1,031.58 / $1,213.64 / $1,723.36	Professional		$1,031.58	$1,213.64	$1,723.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.98 / $1,697.77 / $1,958.97	Facility		$1,305.98	$1,697.77	$1,958.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,305.98 / $1,501.88 / $1,958.97	Professional		$1,305.98	$1,501.88	$1,958.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,687.91	Facility		$761.00	$761.00	$1,687.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.56 / $1,712.38 / $2,813.23	Professional		$1,378.56	$1,712.38	$2,813.23
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 $1,294.33 / $1,606.21 / $2,839.68	Professional		$1,294.33	$1,606.21	$2,839.68