Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,248.42 / $4,846.00	Facility		$2,318.00	$3,248.42	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,550.17 / $2,867.74 / $3,413.97	Professional		$2,550.17	$2,867.74	$3,413.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,357.76 / $2,947.21 / $4,160.64	Professional		$2,357.76	$2,947.21	$4,160.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,693.81 / $3,433.29 / $3,961.49	Facility		$2,693.81	$3,433.29	$3,961.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,640.99 / $3,037.14 / $3,961.49	Professional		$2,640.99	$3,037.14	$3,961.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,478.98 / $3,334.42 / $5,937.41	Professional		$2,478.98	$3,334.42	$5,937.41
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 $2,448.01 / $3,169.19 / $5,135.95	Professional		$2,448.01	$3,169.19	$5,135.95