Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.21 / $2,412.55 / $4,846.00	Facility		$2,304.21	$2,412.55	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,118.61 / $2,412.55 / $3,112.96	Professional		$2,118.61	$2,412.55	$3,112.96
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 $2,250.52 / $4,635.82 / $6,258.35	Professional		$2,250.52	$4,635.82	$6,258.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,990.43 / $2,622.68 / $4,215.02	Facility		$1,990.43	$2,622.68	$4,215.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,967.01 / $2,435.34 / $3,372.02	Professional		$1,967.01	$2,435.34	$3,372.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,065.66 / $2,942.52 / $6,119.28	Professional		$2,065.66	$2,942.52	$6,119.28
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 $2,062.94 / $2,647.85 / $4,263.71	Professional		$2,062.94	$2,647.85	$4,263.71