Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.11 / $2,318.00 / $4,846.00	Facility		$2,202.11	$2,318.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,152.12 / $2,202.11 / $2,769.57	Professional		$2,152.12	$2,202.11	$2,769.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,103.90 / $24,214.00 / $45,778.00	Facility		$2,103.90	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,788.31 / $2,103.90 / $2,903.38	Professional		$1,788.31	$2,103.90	$2,903.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,060.67 / $2,626.35 / $3,030.41	Facility		$2,060.67	$2,626.35	$3,030.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,020.27 / $2,424.32 / $3,030.41	Professional		$2,020.27	$2,424.32	$3,030.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.33 / $2,760.41 / $4,798.04	Professional		$1,705.33	$2,760.41	$4,798.04
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 $1,901.11 / $2,736.39 / $4,076.92	Professional		$1,901.11	$2,736.39	$4,076.92