Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,034.24 / $4,846.00	Facility		$2,318.00	$3,034.24	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,638.53 / $2,898.10 / $3,881.28	Professional		$2,638.53	$2,898.10	$3,881.28
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 $2,462.40 / $3,078.00 / $4,247.64	Professional		$2,462.40	$3,078.00	$4,247.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,528.53 / $3,287.09 / $3,792.80	Facility		$2,528.53	$3,287.09	$3,792.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,528.53 / $3,034.24 / $3,792.80	Professional		$2,528.53	$3,034.24	$3,792.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,279.28	Facility		$761.00	$761.00	$3,279.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.97 / $3,355.60 / $5,771.22	Professional		$2,691.97	$3,355.60	$5,771.22
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 $2,529.65 / $3,159.46 / $5,524.01	Professional		$2,529.65	$3,159.46	$5,524.01