Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,155.54 / $2,254.61 / $4,846.00	Facility		$2,155.54	$2,254.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.65 / $2,254.61 / $2,909.18	Professional		$1,958.65	$2,254.61	$2,909.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,205.00 / $25,750.00	Facility		$2,451.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,962.16 / $4,048.38 / $5,465.31	Professional		$1,962.16	$4,048.38	$5,465.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,787.52 / $2,278.21 / $2,628.71	Facility		$1,787.52	$2,278.21	$2,628.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,840.09 / $2,102.96 / $2,628.71	Professional		$1,840.09	$2,102.96	$2,628.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.14 / $2,593.81 / $5,343.86	Professional		$1,940.14	$2,593.81	$5,343.86
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 $1,904.63 / $2,509.23 / $3,849.32	Professional		$1,904.63	$2,509.23	$3,849.32