Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.92 / $2,147.30 / $4,846.00	Facility		$2,050.92	$2,147.30	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,929.94 / $2,147.30 / $2,770.72	Professional		$1,929.94	$2,147.30	$2,770.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $10,577.42 / $18,643.75	Facility		$5,091.00	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,705.68 / $2,132.10 / $2,942.29	Professional		$1,705.68	$2,132.10	$2,942.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,771.64 / $2,334.39 / $3,751.70	Facility		$1,771.64	$2,334.39	$3,751.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,750.79 / $2,167.65 / $3,001.35	Professional		$1,750.79	$2,167.65	$3,001.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,904.87 / $2,764.03 / $5,448.66	Professional		$1,904.87	$2,764.03	$5,448.66
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 $1,901.02 / $2,501.13 / $3,669.32	Professional		$1,901.02	$2,501.13	$3,669.32