Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.80 / $2,318.00 / $4,846.00	Facility		$2,096.80	$2,318.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,063.54 / $2,096.80 / $2,621.00	Professional		$2,063.54	$2,096.80	$2,621.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,881.00 / $23,381.41 / $33,555.00	Facility		$7,881.00	$23,381.41	$33,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.21 / $2,835.60 / $3,913.12	Professional		$2,241.21	$2,835.60	$3,913.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,078.05 / $2,648.49 / $3,055.95	Facility		$2,078.05	$2,648.49	$3,055.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,037.30 / $2,444.76 / $3,055.95	Professional		$2,037.30	$2,444.76	$3,055.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,252.94 / $3,174.69 / $4,838.47	Professional		$2,252.94	$3,174.69	$4,838.47
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 $2,128.58 / $2,709.43 / $4,303.99	Professional		$2,128.58	$2,709.43	$4,303.99