Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.23 / $1,603.67 / $4,846.00	Facility		$1,598.23	$1,603.67	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,437.47 / $1,598.23 / $1,997.79	Professional		$1,437.47	$1,598.23	$1,997.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.31 / $1,950.60 / $2,691.82	Professional		$1,521.31	$1,950.60	$2,691.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,652.86 / $2,333.46 / $3,500.19	Facility		$1,652.86	$2,333.46	$3,500.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,633.42 / $2,022.33 / $2,800.16	Professional		$1,633.42	$2,022.33	$2,800.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.80 / $1,868.80 / $1,868.80	Facility		$1,868.80	$1,868.80	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.60 / $2,259.82 / $3,482.68	Professional		$1,635.60	$2,259.82	$3,482.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,532.58 / $1,969.27 / $3,271.07	Professional		$1,532.58	$1,969.27	$3,271.07