Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,125.94 / $2,221.05 / $4,846.00	Facility		$2,125.94	$2,221.05	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.13 / $2,221.05 / $2,865.88	Professional		$1,926.13	$2,221.05	$2,865.88
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 $2,027.92 / $3,252.50 / $4,488.45	Professional		$2,027.92	$3,252.50	$4,488.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,762.98 / $2,246.92 / $2,592.62	Facility		$1,762.98	$2,246.92	$2,592.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,814.83 / $1,987.67 / $2,592.62	Professional		$1,814.83	$1,987.67	$2,592.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.26 / $2,811.44 / $7,254.11	Professional		$1,933.26	$2,811.44	$7,254.11
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 $1,871.08 / $2,442.17 / $3,772.92	Professional		$1,871.08	$2,442.17	$3,772.92