Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,959.77 / $4,846.00	Facility		$2,318.00	$2,959.77	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,831.32 / $2,959.77 / $3,432.94	Professional		$2,831.32	$2,959.77	$3,432.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,841.00 / $32,251.00 / $57,499.79	Facility		$3,841.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,529.84 / $4,412.30 / $5,956.60	Professional		$3,529.84	$4,412.30	$5,956.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,356.73 / $2,807.53 / $3,509.42	Facility		$2,356.73	$2,807.53	$3,509.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,456.59 / $2,690.55 / $3,509.42	Professional		$2,456.59	$2,690.55	$3,509.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,424.98 / $3,310.19 / $4,950.60	Professional		$2,424.98	$3,310.19	$4,950.60
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 $2,106.87 / $2,711.08 / $4,036.76	Professional		$2,106.87	$2,711.08	$4,036.76