Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,001.97 / $2,095.78 / $4,846.00	Facility		$2,001.97	$2,095.78	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.64 / $2,095.78 / $2,704.23	Professional		$1,839.64	$2,095.78	$2,704.23
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 $1,957.40 / $3,228.34 / $4,358.25	Professional		$1,957.40	$3,228.34	$4,358.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,729.35 / $2,278.67 / $3,662.15	Facility		$1,729.35	$2,278.67	$3,662.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,709.00 / $2,115.91 / $2,929.71	Professional		$1,709.00	$2,115.91	$2,929.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,790.42 / $2,677.46 / $5,558.37	Professional		$1,790.42	$2,677.46	$5,558.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $5,735.00 / $10,926.00	Facility		$1,987.00	$5,735.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.12 / $2,420.73 / $3,767.40	Professional		$1,779.12	$2,420.73	$3,767.40