Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,689.01 / $4,846.00	Facility		$2,318.00	$2,689.01	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,449.07 / $2,689.01 / $3,469.69	Professional		$2,449.07	$2,689.01	$3,469.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,166.50 / $10,577.42 / $18,643.75	Facility		$5,166.50	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,508.98 / $5,166.50 / $6,974.77	Professional		$2,508.98	$5,166.50	$6,974.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,217.63 / $2,922.05 / $4,696.16	Facility		$2,217.63	$2,922.05	$4,696.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,191.54 / $2,713.33 / $3,756.93	Professional		$2,191.54	$2,713.33	$3,756.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,302.28 / $3,280.56 / $6,819.78	Professional		$2,302.28	$3,280.56	$6,819.78
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 $2,285.35 / $3,019.25 / $4,753.53	Professional		$2,285.35	$3,019.25	$4,753.53