Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.50 / $2,255.11 / $4,846.00	Facility		$2,159.50	$2,255.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.68 / $2,255.11 / $2,979.07	Professional		$1,901.68	$2,255.11	$2,979.07
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 $2,043.76 / $2,731.50 / $3,769.47	Professional		$2,043.76	$2,731.50	$3,769.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,790.80 / $2,282.40 / $2,633.54	Facility		$1,790.80	$2,282.40	$2,633.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,790.80 / $2,106.83 / $2,633.54	Professional		$1,790.80	$2,106.83	$2,633.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.85 / $2,673.95 / $5,443.60	Professional		$1,807.85	$2,673.95	$5,443.60
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 $1,781.64 / $2,441.62 / $3,971.22	Professional		$1,781.64	$2,441.62	$3,971.22