Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.56 / $2,088.34 / $4,846.00	Facility		$1,993.56	$2,088.34	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.14 / $2,088.34 / $2,694.63	Professional		$1,816.14	$2,088.34	$2,694.63
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 $1,908.21 / $2,773.70 / $3,827.70	Professional		$1,908.21	$2,773.70	$3,827.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,653.20 / $2,107.01 / $2,431.17	Facility		$1,653.20	$2,107.01	$2,431.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,653.20 / $1,944.94 / $2,431.17	Professional		$1,653.20	$1,944.94	$2,431.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,507.36 / $6,260.14	Professional		$1,800.00	$2,507.36	$6,260.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,660.00 / $11,929.00	Facility		$1,987.00	$5,660.00	$11,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,766.36 / $2,312.39 / $3,547.47	Professional		$1,766.36	$2,312.39	$3,547.47