Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,826.83 / $4,846.00	Facility		$2,318.00	$2,826.83	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,783.98 / $2,826.83 / $3,533.54	Professional		$2,783.98	$2,826.83	$3,533.54
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 $2,805.68 / $3,702.80 / $5,109.85	Professional		$2,805.68	$3,702.80	$5,109.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,801.23 / $3,570.19 / $4,119.45	Facility		$2,801.23	$3,570.19	$4,119.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,746.30 / $3,158.25 / $4,119.45	Professional		$2,746.30	$3,158.25	$4,119.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,039.46 / $4,280.46 / $6,522.32	Professional		$3,039.46	$4,280.46	$6,522.32
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 $2,872.60 / $3,664.57 / $5,978.71	Professional		$2,872.60	$3,664.57	$5,978.71