Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.58 / $2,426.66 / $4,846.00	Facility		$2,197.58	$2,426.66	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,111.15 / $2,309.53 / $3,097.54	Professional		$2,111.15	$2,309.53	$3,097.54
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 $1,182.01 / $1,556.75 / $2,140.63	Professional		$1,182.01	$1,556.75	$2,140.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,022.22 / $2,628.89 / $3,033.33	Facility		$2,022.22	$2,628.89	$3,033.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,022.22 / $2,325.55 / $3,033.33	Professional		$2,022.22	$2,325.55	$3,033.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,624.83	Facility		$761.00	$761.00	$2,624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,774.32 / $2,579.57 / $4,625.10	Professional		$1,774.32	$2,579.57	$4,625.10
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 $1,990.97 / $2,520.82 / $4,408.55	Professional		$1,990.97	$2,520.82	$4,408.55