Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.04 / $1,231.04 / $2,026.45	Facility		$1,231.04	$1,231.04	$2,026.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.84 / $1,231.04 / $2,109.40	Professional		$1,106.84	$1,231.04	$2,109.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.03 / $5,790.87 / $8,700.00	Facility		$996.03	$5,790.87	$8,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.54 / $996.03 / $1,414.36	Professional		$816.54	$996.03	$1,414.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,223.06 / $1,558.80 / $1,798.62	Facility		$1,223.06	$1,558.80	$1,798.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,199.08 / $1,438.90 / $1,798.62	Professional		$1,199.08	$1,438.90	$1,798.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.69 / $1,347.87 / $2,796.96	Professional		$855.69	$1,347.87	$2,796.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.50 / $1,393.61 / $2,520.12	Professional		$756.50	$1,393.61	$2,520.12