Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.97 / $2,123.89 / $4,846.00	Facility		$2,035.97	$2,123.89	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.76 / $2,123.89 / $2,565.53	Professional		$1,816.76	$2,123.89	$2,565.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,521.80 / $26,904.00 / $50,875.00	Facility		$2,521.80	$26,904.00	$50,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,017.44 / $2,521.80 / $3,480.08	Professional		$2,017.44	$2,521.80	$3,480.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,688.37 / $2,151.84 / $2,500.92	Facility		$1,688.37	$2,151.84	$2,500.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,738.02 / $1,903.55 / $2,482.89	Professional		$1,738.02	$1,903.55	$2,482.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,864.09 / $2,633.98 / $4,338.84	Professional		$1,864.09	$2,633.98	$4,338.84
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 $1,871.30 / $2,482.89 / $3,726.88	Professional		$1,871.30	$2,482.89	$3,726.88