Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.91 / $2,222.60 / $4,846.00	Facility		$2,124.91	$2,222.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.90 / $2,222.60 / $2,867.87	Professional		$1,930.90	$2,222.60	$2,867.87
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 $2,123.91 / $3,359.90 / $4,636.66	Professional		$2,123.91	$3,359.90	$4,636.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,762.12 / $2,245.84 / $2,591.36	Facility		$1,762.12	$2,245.84	$2,591.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,813.95 / $2,073.08 / $2,591.36	Professional		$1,813.95	$2,073.08	$2,591.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,912.20 / $3,024.05 / $7,235.05	Professional		$1,912.20	$3,024.05	$7,235.05
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 $1,877.04 / $2,453.80 / $3,818.81	Professional		$1,877.04	$2,453.80	$3,818.81