Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.92 / $2,355.94 / $4,846.00	Facility		$2,121.92	$2,355.94	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.71 / $2,203.37 / $2,990.89	Professional		$1,931.71	$2,203.37	$2,990.89
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 $1,371.39 / $1,613.40 / $2,291.02	Professional		$1,371.39	$1,613.40	$2,291.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,963.28 / $2,552.26 / $2,944.92	Facility		$1,963.28	$2,552.26	$2,944.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,963.28 / $2,355.94 / $2,944.92	Professional		$1,963.28	$2,355.94	$2,944.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,524.85	Facility		$761.00	$761.00	$2,524.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.49 / $2,520.48 / $4,412.18	Professional		$1,705.49	$2,520.48	$4,412.18
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 $1,914.49 / $2,414.67 / $4,256.76	Professional		$1,914.49	$2,414.67	$4,256.76