Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.64 / $1,219.01 / $4,846.00	Facility		$1,102.64	$1,219.01	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.81 / $1,151.46 / $1,554.20	Professional		$1,058.81	$1,151.46	$1,554.20
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 $862.56 / $1,078.20 / $1,487.91	Professional		$862.56	$1,078.20	$1,487.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,015.84 / $1,320.59 / $1,523.76	Facility		$1,015.84	$1,320.59	$1,523.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,015.84 / $1,168.22 / $1,523.76	Professional		$1,015.84	$1,168.22	$1,523.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,306.61	Facility		$761.00	$761.00	$1,306.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.37 / $1,300.06 / $2,278.94	Professional		$997.37	$1,300.06	$2,278.94
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 $969.51 / $1,221.85 / $2,005.66	Professional		$969.51	$1,221.85	$2,005.66