Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,528.16 / $4,846.00	Facility		$1,386.00	$2,528.16	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.82 / $2,528.16 / $2,932.25	Professional		$2,130.82	$2,528.16	$2,932.25
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 $3,646.45 / $4,847.17 / $6,689.09	Professional		$3,646.45	$4,847.17	$6,689.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,989.38 / $2,567.57 / $3,670.88	Facility		$1,989.38	$2,567.57	$3,670.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,073.80 / $2,370.06 / $3,854.42	Professional		$2,073.80	$2,370.06	$3,854.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.54 / $3,134.59 / $16,998.68	Professional		$2,119.54	$3,134.59	$16,998.68
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 $1,672.01 / $2,269.26 / $4,078.76	Professional		$1,672.01	$2,269.26	$4,078.76