Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,004.58 / $2,096.42 / $4,846.00	Facility		$2,004.58	$2,096.42	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.82 / $2,096.42 / $2,769.10	Professional		$1,820.82	$2,096.42	$2,769.10
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 $1,939.96 / $2,920.90 / $4,030.84	Professional		$1,939.96	$2,920.90	$4,030.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,662.33 / $2,118.66 / $2,444.61	Facility		$1,662.33	$2,118.66	$2,444.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,711.23 / $1,874.20 / $2,444.61	Professional		$1,711.23	$1,874.20	$2,444.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,827.58 / $2,618.21 / $6,260.14	Professional		$1,827.58	$2,618.21	$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 $1,769.82 / $2,361.69 / $3,561.21	Professional		$1,769.82	$2,361.69	$3,561.21