Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,526.73 / $4,846.00	Facility		$2,318.00	$2,526.73	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,196.65 / $2,526.73 / $3,260.31	Professional		$2,196.65	$2,526.73	$3,260.31
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 $2,325.73 / $3,165.80 / $4,368.80	Professional		$2,325.73	$3,165.80	$4,368.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,000.68 / $2,549.89 / $2,942.18	Facility		$2,000.68	$2,549.89	$2,942.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,059.52 / $2,353.73 / $2,942.18	Professional		$2,059.52	$2,353.73	$2,942.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,220.03 / $3,271.66 / $7,430.51	Professional		$2,220.03	$3,271.66	$7,430.51
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 $2,148.06 / $2,875.44 / $4,292.18	Professional		$2,148.06	$2,875.44	$4,292.18