Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,176.25 / $2,276.80 / $4,846.00	Facility		$2,176.25	$2,276.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,978.41 / $2,276.80 / $2,937.81	Professional		$1,978.41	$2,276.80	$2,937.81
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 $1,787.72 / $2,911.10 / $4,017.31	Professional		$1,787.72	$2,911.10	$4,017.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,804.70 / $2,300.10 / $2,653.97	Facility		$1,804.70	$2,300.10	$2,653.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,857.78 / $2,123.17 / $2,653.97	Professional		$1,857.78	$2,123.17	$2,653.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,956.27 / $2,645.90 / $7,076.68	Professional		$1,956.27	$2,645.90	$7,076.68
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 $1,845.95 / $2,532.36 / $3,910.79	Professional		$1,845.95	$2,532.36	$3,910.79