Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.80 / $1,381.68 / $4,846.00	Facility		$1,249.80	$1,381.68	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.53 / $1,314.53 / $1,761.62	Professional		$1,201.53	$1,314.53	$1,761.62
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 $1,151.11 / $1,438.90 / $1,985.68	Professional		$1,151.11	$1,438.90	$1,985.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.43 / $1,496.82 / $1,727.10	Facility		$1,174.43	$1,496.82	$1,727.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.40 / $1,381.68 / $1,727.10	Professional		$1,151.40	$1,381.68	$1,727.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,489.16	Facility		$761.00	$761.00	$1,489.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.93 / $1,558.28 / $2,628.87	Professional		$1,232.93	$1,558.28	$2,628.87
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 $1,138.56 / $1,421.47 / $2,507.21	Professional		$1,138.56	$1,421.47	$2,507.21