Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,054.96 / $4,846.00	Facility		$2,318.00	$3,054.96	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,646.76 / $3,054.96 / $3,941.88	Professional		$2,646.76	$3,054.96	$3,941.88
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 $2,816.20 / $3,920.80 / $5,410.70	Professional		$2,816.20	$3,920.80	$5,410.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,423.71 / $3,089.05 / $3,564.29	Facility		$2,423.71	$3,089.05	$3,564.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,423.71 / $2,851.43 / $3,564.29	Professional		$2,423.71	$2,851.43	$3,564.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,710.04 / $3,914.33 / $8,682.54	Professional		$2,710.04	$3,914.33	$8,682.54
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 $2,577.50 / $3,564.29 / $5,189.50	Professional		$2,577.50	$3,564.29	$5,189.50