Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.36 / $1,984.98 / $4,846.00	Facility		$1,796.36	$1,984.98	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.26 / $1,879.65 / $2,532.01	Professional		$1,726.26	$1,879.65	$2,532.01
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 $953.95 / $1,251.82 / $1,726.28	Professional		$953.95	$1,251.82	$1,726.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,654.15 / $2,150.40 / $2,481.23	Facility		$1,654.15	$2,150.40	$2,481.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,654.15 / $1,984.98 / $2,481.23	Professional		$1,654.15	$1,984.98	$2,481.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,142.85	Facility		$761.00	$761.00	$2,142.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.40 / $2,092.04 / $3,751.28	Professional		$1,417.40	$2,092.04	$3,751.28
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 $1,599.85 / $2,039.93 / $3,603.67	Professional		$1,599.85	$2,039.93	$3,603.67