Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,433.36 / $4,846.00	Facility		$2,318.00	$2,433.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.73 / $2,497.01 / $3,220.28	Professional		$2,398.73	$2,497.01	$3,220.28
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 $2,085.94 / $3,210.80 / $4,430.89	Professional		$2,085.94	$3,210.80	$4,430.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,364.10 / $3,073.33 / $3,546.15	Facility		$2,364.10	$3,073.33	$3,546.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,364.10 / $2,836.92 / $3,546.15	Professional		$2,364.10	$2,836.92	$3,546.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,462.00 / $3,361.65 / $5,466.13	Professional		$2,462.00	$3,361.65	$5,466.13
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 $2,169.73 / $2,969.38 / $5,003.39	Professional		$2,169.73	$2,969.38	$5,003.39