Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.66 / $2,294.28 / $4,846.00	Facility		$2,191.66	$2,294.28	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,191.66 / $2,294.28 / $2,960.37	Professional		$2,191.66	$2,294.28	$2,960.37
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 $2,143.17 / $4,414.95 / $5,960.18	Professional		$2,143.17	$4,414.95	$5,960.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,817.48 / $2,316.39 / $2,701.10	Facility		$1,817.48	$2,316.39	$2,701.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,870.93 / $2,138.21 / $2,672.76	Professional		$1,870.93	$2,138.21	$2,672.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,964.80 / $2,797.98 / $5,827.73	Professional		$1,964.80	$2,797.98	$5,827.73
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 $1,949.18 / $2,583.51 / $4,017.87	Professional		$1,949.18	$2,583.51	$4,017.87