Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,485.21 / $4,846.00	Facility		$2,318.00	$2,485.21	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.44 / $2,485.21 / $3,206.73	Professional		$2,150.44	$2,485.21	$3,206.73
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 $1,433.60 / $1,792.00 / $2,472.96	Professional		$1,433.60	$1,792.00	$2,472.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,976.42 / $2,518.96 / $2,906.51	Facility		$1,976.42	$2,518.96	$2,906.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,976.42 / $2,325.19 / $2,906.51	Professional		$1,976.42	$2,325.19	$2,906.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.43 / $2,367.58 / $4,601.88	Professional		$1,459.43	$2,367.58	$4,601.88
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 $1,359.89 / $2,489.94 / $4,221.64	Professional		$1,359.89	$2,489.94	$4,221.64