Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,241.44 / $2,346.90 / $4,846.00	Facility		$2,241.44	$2,346.90	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,023.54 / $2,346.90 / $3,088.92	Professional		$2,023.54	$2,346.90	$3,088.92
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 $2,193.77 / $3,148.90 / $4,345.47	Professional		$2,193.77	$3,148.90	$4,345.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,858.77 / $2,369.02 / $2,733.48	Facility		$1,858.77	$2,369.02	$2,733.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,858.77 / $2,186.78 / $2,733.48	Professional		$1,858.77	$2,186.78	$2,733.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,081.92 / $3,045.49 / $7,620.29	Professional		$2,081.92	$3,045.49	$7,620.29
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 $1,984.79 / $2,677.10 / $4,016.86	Professional		$1,984.79	$2,677.10	$4,016.86