Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.52 / $2,082.85 / $4,846.00	Facility		$1,910.52	$2,082.85	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,864.05 / $2,082.85 / $2,811.85	Professional		$1,864.05	$2,082.85	$2,811.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,338.00 / $26,304.00	Facility		$2,310.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,657.86 / $2,516.69 / $3,473.04	Professional		$1,657.86	$2,516.69	$3,473.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,013.70 / $2,617.81 / $3,020.55	Facility		$2,013.70	$2,617.81	$3,020.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,013.70 / $2,225.14 / $3,020.55	Professional		$2,013.70	$2,225.14	$3,020.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.07 / $2,571.42 / $4,383.63	Professional		$1,810.07	$2,571.42	$4,383.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,780.21 / $2,373.61 / $4,201.29	Professional		$1,780.21	$2,373.61	$4,201.29