Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.80 / $2,146.48 / $4,846.00	Facility		$2,052.80	$2,146.48	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,854.87 / $2,146.48 / $2,837.55	Professional		$1,854.87	$2,146.48	$2,837.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $17,625.00 / $37,128.00	Facility		$2,451.00	$17,625.00	$37,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,877.00 / $3,865.36 / $5,218.22	Professional		$1,877.00	$3,865.36	$5,218.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,702.32 / $2,169.62 / $2,503.41	Facility		$1,702.32	$2,169.62	$2,503.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,702.32 / $2,002.73 / $2,503.41	Professional		$1,702.32	$2,002.73	$2,503.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,847.61 / $2,465.42 / $5,102.28	Professional		$1,847.61	$2,465.42	$5,102.28
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 $1,817.74 / $2,369.57 / $3,688.73	Professional		$1,817.74	$2,369.57	$3,688.73