Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,185.00 / $4,846.00	Facility		$2,318.00	$3,185.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,701.20 / $3,014.04 / $3,999.58	Professional		$2,701.20	$3,014.04	$3,999.58
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 $1,471.77 / $1,939.28 / $2,683.82	Professional		$1,471.77	$1,939.28	$2,683.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,654.17 / $3,450.42 / $3,981.26	Facility		$2,654.17	$3,450.42	$3,981.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,654.17 / $3,185.00 / $3,981.26	Professional		$2,654.17	$3,185.00	$3,981.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,447.56	Facility		$761.00	$761.00	$3,447.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,641.97 / $3,172.59 / $5,631.35	Professional		$1,641.97	$3,172.59	$5,631.35
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 $2,289.92 / $3,289.33 / $5,935.10	Professional		$2,289.92	$3,289.33	$5,935.10