Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,610.58 / $4,846.00	Facility		$2,318.00	$2,610.58	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,165.01 / $2,610.58 / $3,448.52	Professional		$2,165.01	$2,610.58	$3,448.52
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 $2,400.29 / $3,410.10 / $4,705.93	Professional		$2,400.29	$3,410.10	$4,705.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,069.89 / $2,638.09 / $3,043.95	Facility		$2,069.89	$2,638.09	$3,043.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,130.77 / $2,435.16 / $3,043.95	Professional		$2,130.77	$2,435.16	$3,043.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,315.84 / $3,357.76 / $8,165.40	Professional		$2,315.84	$3,357.76	$8,165.40
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 $2,202.16 / $2,955.86 / $4,479.13	Professional		$2,202.16	$2,955.86	$4,479.13