Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,372.42 / $4,846.00	Facility		$2,318.00	$2,372.42	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,173.19 / $2,372.42 / $2,937.28	Professional		$2,173.19	$2,372.42	$2,937.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $17,895.78 / $25,253.12	Facility		$5,091.00	$17,895.78	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,113.12 / $2,641.40 / $3,645.13	Professional		$2,113.12	$2,641.40	$3,645.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,207.44 / $2,813.41 / $3,246.24	Facility		$2,207.44	$2,813.41	$3,246.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,164.16 / $2,512.21 / $3,246.24	Professional		$2,164.16	$2,512.21	$3,246.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,073.41 / $3,005.58 / $4,982.12	Professional		$2,073.41	$3,005.58	$4,982.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,132.98 / $2,725.98 / $4,273.78	Professional		$2,132.98	$2,725.98	$4,273.78