Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,014.01 / $2,203.69 / $4,846.00	Facility		$2,014.01	$2,203.69	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.42 / $2,014.01 / $2,493.54	Professional		$1,836.42	$2,014.01	$2,493.54
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 $1,612.24 / $2,015.30 / $2,781.11	Professional		$1,612.24	$2,015.30	$2,781.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,873.75 / $2,388.11 / $2,755.52	Facility		$1,873.75	$2,388.11	$2,755.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,837.01 / $2,204.41 / $2,755.52	Professional		$1,837.01	$2,204.41	$2,755.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.89 / $2,486.53 / $4,218.78	Professional		$1,655.89	$2,486.53	$4,218.78
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 $1,764.64 / $2,204.41 / $3,617.16	Professional		$1,764.64	$2,204.41	$3,617.16