Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.53 / $2,102.69 / $4,846.00	Facility		$2,010.53	$2,102.69	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.47 / $2,102.69 / $2,713.16	Professional		$1,824.47	$2,102.69	$2,713.16
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 $1,940.25 / $2,904.00 / $4,007.52	Professional		$1,940.25	$2,904.00	$4,007.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,667.27 / $2,124.94 / $2,451.87	Facility		$1,667.27	$2,124.94	$2,451.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,716.31 / $1,961.50 / $2,451.87	Professional		$1,716.31	$1,961.50	$2,451.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,865.30 / $2,825.23 / $6,855.27	Professional		$1,865.30	$2,825.23	$6,855.27
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 $1,773.51 / $2,274.37 / $3,604.51	Professional		$1,773.51	$2,274.37	$3,604.51