Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.81 / $1,203.50 / $4,846.00	Facility		$1,086.81	$1,203.50	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.40 / $1,142.26 / $1,531.88	Professional		$1,046.40	$1,142.26	$1,531.88
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 $1,038.42 / $1,382.10 / $1,907.29	Professional		$1,038.42	$1,382.10	$1,907.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,002.92 / $1,303.80 / $1,504.38	Facility		$1,002.92	$1,303.80	$1,504.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,002.92 / $1,203.50 / $1,504.38	Professional		$1,002.92	$1,203.50	$1,504.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,294.96	Facility		$761.00	$761.00	$1,294.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.19 / $1,413.22 / $2,295.59	Professional		$1,094.19	$1,413.22	$2,295.59
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 $1,008.62 / $1,241.08 / $2,180.23	Professional		$1,008.62	$1,241.08	$2,180.23