Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,358.59 / $4,846.00	Facility		$1,386.00	$2,358.59	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.89 / $2,358.59 / $2,735.54	Professional		$1,987.89	$2,358.59	$2,735.54
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 $3,003.74 / $3,998.28 / $5,517.62	Professional		$3,003.74	$3,998.28	$5,517.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,883.30 / $2,400.28 / $3,388.50	Facility		$1,883.30	$2,400.28	$3,388.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,938.69 / $2,215.64 / $3,557.93	Professional		$1,938.69	$2,215.64	$3,557.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.19 / $2,900.03 / $15,311.05	Professional		$1,980.19	$2,900.03	$15,311.05
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 $1,624.07 / $2,403.30 / $4,042.61	Professional		$1,624.07	$2,403.30	$4,042.61