Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,685.08 / $4,846.00	Facility		$2,318.00	$2,685.08	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,646.65 / $2,756.92 / $3,356.35	Professional		$2,646.65	$2,756.92	$3,356.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $23,175.52 / $32,252.00	Facility		$5,778.00	$23,175.52	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,336.42 / $3,538.10 / $4,882.57	Professional		$2,336.42	$3,538.10	$4,882.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,607.42 / $3,389.65 / $3,911.13	Facility		$2,607.42	$3,389.65	$3,911.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,607.42 / $3,128.90 / $3,911.13	Professional		$2,607.42	$3,128.90	$3,911.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,747.00 / $3,742.69 / $6,021.93	Professional		$2,747.00	$3,742.69	$6,021.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,475.00 / $14,307.00 / $19,962.00	Facility		$6,475.00	$14,307.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,440.66 / $3,266.33 / $5,530.61	Professional		$2,440.66	$3,266.33	$5,530.61