Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.94 / $2,404.96 / $4,846.00	Facility		$2,300.94	$2,404.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,058.82 / $2,404.96 / $3,182.62	Professional		$2,058.82	$2,404.96	$3,182.62
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 $2,252.00 / $3,488.00 / $4,813.43	Professional		$2,252.00	$3,488.00	$4,813.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,908.10 / $2,431.90 / $2,806.04	Facility		$1,908.10	$2,431.90	$2,806.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,908.10 / $2,244.83 / $2,806.04	Professional		$1,908.10	$2,244.83	$2,806.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.92 / $3,187.08 / $7,757.13	Professional		$2,070.92	$3,187.08	$7,757.13
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 $2,046.17 / $2,737.22 / $5,048.96	Professional		$2,046.17	$2,737.22	$5,048.96