Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,561.11 / $4,846.00	Facility		$2,318.00	$2,561.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,230.26 / $2,561.11 / $3,304.66	Professional		$2,230.26	$2,561.11	$3,304.66
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 $2,321.07 / $3,258.10 / $4,496.17	Professional		$2,321.07	$3,258.10	$4,496.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,025.54 / $2,581.57 / $2,978.73	Facility		$2,025.54	$2,581.57	$2,978.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,025.54 / $2,382.98 / $2,978.73	Professional		$2,025.54	$2,382.98	$2,978.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,199.75 / $2,985.22 / $8,288.66	Professional		$2,199.75	$2,985.22	$8,288.66
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 $2,130.52 / $2,689.40 / $4,511.25	Professional		$2,130.52	$2,689.40	$4,511.25