Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.06 / $1,724.95 / $4,846.00	Facility		$1,560.06	$1,724.95	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.79 / $1,640.65 / $2,198.94	Professional		$1,499.79	$1,640.65	$2,198.94
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 $1,416.00 / $1,770.00 / $2,442.60	Professional		$1,416.00	$1,770.00	$2,442.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,437.46 / $1,868.70 / $2,156.19	Facility		$1,437.46	$1,868.70	$2,156.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,437.46 / $1,724.95 / $2,156.19	Professional		$1,437.46	$1,724.95	$2,156.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,859.53	Facility		$761.00	$761.00	$1,859.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.05 / $1,934.59 / $3,257.83	Professional		$1,501.05	$1,934.59	$3,257.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,076.00 / $10,926.00	Facility		$1,403.00	$5,076.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,383.63 / $1,768.77 / $3,004.47	Professional		$1,383.63	$1,768.77	$3,004.47