Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.84 / $1,494.00 / $10,985.00	Facility		$1,217.84	$1,494.00	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.94 / $1,277.83 / $1,716.59	Professional		$1,169.94	$1,277.83	$1,716.59
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 $1,088.08 / $1,360.10 / $1,876.93	Professional		$1,088.08	$1,360.10	$1,876.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.51 / $1,457.96 / $1,682.27	Facility		$1,121.51	$1,457.96	$1,682.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,121.51 / $1,345.81 / $1,682.27	Professional		$1,121.51	$1,345.81	$1,682.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,450.27	Facility		$761.00	$761.00	$1,450.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.58 / $1,493.47 / $2,567.23	Professional		$1,177.58	$1,493.47	$2,567.23
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 $1,106.71 / $1,385.66 / $2,346.13	Professional		$1,106.71	$1,385.66	$2,346.13