Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.15 / $1,560.50 / $4,846.00	Facility		$1,412.15	$1,560.50	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,356.28 / $1,480.87 / $1,990.46	Professional		$1,356.28	$1,480.87	$1,990.46
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 $1,215.28 / $1,519.10 / $2,096.35	Professional		$1,215.28	$1,519.10	$2,096.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,326.43 / $1,690.55 / $1,950.63	Facility		$1,326.43	$1,690.55	$1,950.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.42 / $1,560.50 / $1,950.63	Professional		$1,300.42	$1,560.50	$1,950.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,679.11	Facility		$761.00	$761.00	$1,679.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.63 / $1,699.46 / $2,953.60	Professional		$1,351.63	$1,699.46	$2,953.60
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 $1,289.78 / $1,609.21 / $2,572.85	Professional		$1,289.78	$1,609.21	$2,572.85