Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,228.38 / $4,846.00	Facility		$1,386.00	$2,228.38	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,878.09 / $2,228.38 / $2,584.42	Professional		$1,878.09	$2,228.38	$2,584.42
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 $2,452.73 / $3,149.39 / $4,346.14	Professional		$2,452.73	$3,149.39	$4,346.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,780.46 / $2,269.21 / $3,106.13	Facility		$1,780.46	$2,269.21	$3,106.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,832.83 / $2,094.66 / $3,261.44	Professional		$1,832.83	$2,094.66	$3,261.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.44 / $2,647.13 / $13,623.41	Professional		$1,870.44	$2,647.13	$13,623.41
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 $1,535.07 / $2,181.41 / $3,663.08	Professional		$1,535.07	$2,181.41	$3,663.08