Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.41 / $1,408.85 / $4,846.00	Facility		$1,274.41	$1,408.85	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.26 / $1,332.95 / $1,796.31	Professional		$1,182.26	$1,332.95	$1,796.31
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 $986.40 / $1,233.00 / $1,701.54	Professional		$986.40	$1,233.00	$1,701.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.04 / $1,526.25 / $1,761.06	Facility		$1,174.04	$1,526.25	$1,761.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.04 / $1,408.85 / $1,761.06	Professional		$1,174.04	$1,408.85	$1,761.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,513.73	Facility		$761.00	$761.00	$1,513.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.10 / $1,569.17 / $2,664.68	Professional		$1,143.10	$1,569.17	$2,664.68
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 $1,146.31 / $1,441.82 / $2,378.51	Professional		$1,146.31	$1,441.82	$2,378.51