Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.78 / $1,390.25 / $4,846.00	Facility		$1,257.78	$1,390.25	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.89 / $1,316.66 / $1,772.87	Professional		$1,207.89	$1,316.66	$1,772.87
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 $1,013.44 / $1,266.80 / $1,748.18	Professional		$1,013.44	$1,266.80	$1,748.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,158.54 / $1,506.10 / $1,737.81	Facility		$1,158.54	$1,506.10	$1,737.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,158.54 / $1,390.25 / $1,737.81	Professional		$1,158.54	$1,390.25	$1,737.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,493.83	Facility		$761.00	$761.00	$1,493.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.76 / $1,562.05 / $2,631.64	Professional		$1,155.76	$1,562.05	$2,631.64
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 $1,124.90 / $1,423.18 / $2,344.30	Professional		$1,124.90	$1,423.18	$2,344.30