Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.05 / $1,989.17 / $4,846.00	Facility		$1,802.05	$1,989.17	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.63 / $1,887.80 / $2,540.03	Professional		$1,728.63	$1,887.80	$2,540.03
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 $1,560.48 / $1,950.60 / $2,691.82	Professional		$1,560.48	$1,950.60	$2,691.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,657.64 / $2,154.92 / $2,486.46	Facility		$1,657.64	$2,154.92	$2,486.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,657.64 / $1,989.17 / $2,486.46	Professional		$1,657.64	$1,989.17	$2,486.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,139.92	Facility		$761.00	$761.00	$2,139.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.23 / $2,138.21 / $3,773.09	Professional		$1,697.23	$2,138.21	$3,773.09
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 $1,587.08 / $2,031.38 / $3,463.13	Professional		$1,587.08	$2,031.38	$3,463.13