Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,677.72 / $4,846.00	Facility		$2,318.00	$2,677.72	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.86 / $2,677.72 / $3,211.10	Professional		$2,272.86	$2,677.72	$3,211.10
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 $2,198.35 / $2,747.94 / $3,792.15	Professional		$2,198.35	$2,747.94	$3,792.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,121.16 / $2,703.44 / $3,119.36	Facility		$2,121.16	$2,703.44	$3,119.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,183.55 / $2,495.48 / $3,119.36	Professional		$2,183.55	$2,495.48	$3,119.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,301.46 / $3,211.58 / $6,423.36	Professional		$2,301.46	$3,211.58	$6,423.36
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 $2,265.34 / $3,028.08 / $4,548.67	Professional		$2,265.34	$3,028.08	$4,548.67