Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.96 / $2,123.56 / $4,846.00	Facility		$2,030.96	$2,123.56	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.34 / $2,123.56 / $2,805.26	Professional		$1,844.34	$2,123.56	$2,805.26
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 $1,961.61 / $2,878.30 / $3,972.05	Professional		$1,961.61	$2,878.30	$3,972.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,684.21 / $2,146.55 / $2,476.79	Facility		$1,684.21	$2,146.55	$2,476.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,684.21 / $1,894.74 / $2,476.79	Professional		$1,684.21	$1,894.74	$2,476.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,827.68 / $2,602.92 / $6,260.14	Professional		$1,827.68	$2,602.92	$6,260.14
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 $1,793.08 / $2,451.82 / $3,647.58	Professional		$1,793.08	$2,451.82	$3,647.58