Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,929.57 / $2,017.34 / $4,846.00	Facility		$1,929.57	$2,017.34	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.14 / $2,017.34 / $2,666.44	Professional		$1,635.14	$2,017.34	$2,666.44
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 $1,739.67 / $2,911.60 / $4,018.00	Professional		$1,739.67	$2,911.60	$4,018.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,600.14 / $2,039.39 / $2,353.14	Facility		$1,600.14	$2,039.39	$2,353.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,647.20 / $1,882.51 / $2,353.14	Professional		$1,647.20	$1,882.51	$2,353.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,789.58 / $2,522.76 / $6,574.85	Professional		$1,789.58	$2,522.76	$6,574.85
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 $1,650.26 / $2,164.67 / $3,426.88	Professional		$1,650.26	$2,164.67	$3,426.88