Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,897.95 / $4,846.00	Facility		$2,318.00	$2,897.95	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,678.92 / $2,897.95 / $3,587.94	Professional		$2,678.92	$2,897.95	$3,587.94
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 $2,504.48 / $3,130.60 / $4,320.22	Professional		$2,504.48	$3,130.60	$4,320.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.42 / $3,430.25 / $3,957.98	Facility		$2,691.42	$3,430.25	$3,957.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,638.65 / $3,166.38 / $3,957.98	Professional		$2,638.65	$3,166.38	$3,957.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,423.09 / $3,497.03 / $6,129.97	Professional		$2,423.09	$3,497.03	$6,129.97
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 $2,520.51 / $3,292.57 / $5,260.35	Professional		$2,520.51	$3,292.57	$5,260.35