Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,047.52 / $4,846.00	Facility		$2,318.00	$3,047.52	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.11 / $2,909.87 / $3,897.42	Professional		$2,650.11	$2,909.87	$3,897.42
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 $2,467.28 / $3,084.10 / $4,256.05	Professional		$2,467.28	$3,084.10	$4,256.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,539.60 / $3,301.48 / $3,809.40	Facility		$2,539.60	$3,301.48	$3,809.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,539.60 / $3,047.52 / $3,809.40	Professional		$2,539.60	$3,047.52	$3,809.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,293.81	Facility		$761.00	$761.00	$3,293.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.97 / $3,370.02 / $5,803.05	Professional		$2,691.97	$3,370.02	$5,803.05
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 $2,530.86 / $3,172.80 / $5,529.94	Professional		$2,530.86	$3,172.80	$5,529.94