Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,278.60 / $2,383.67 / $4,846.00	Facility		$2,278.60	$2,383.67	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,071.37 / $2,383.67 / $3,075.70	Professional		$2,071.37	$2,383.67	$3,075.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $24,214.00 / $45,778.00	Facility		$2,575.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,199.80 / $3,095.90 / $4,272.34	Professional		$2,199.80	$3,095.90	$4,272.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,889.57 / $2,408.28 / $2,778.78	Facility		$1,889.57	$2,408.28	$2,778.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,945.15 / $2,223.02 / $2,778.78	Professional		$1,945.15	$2,223.02	$2,778.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,018.19 / $2,863.01 / $6,668.41	Professional		$2,018.19	$2,863.01	$6,668.41
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 $1,966.70 / $2,599.66 / $4,049.15	Professional		$1,966.70	$2,599.66	$4,049.15