Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.16 / $2,285.80 / $4,846.00	Facility		$2,137.16	$2,285.80	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,928.80 / $2,191.33 / $2,671.45	Professional		$1,928.80	$2,191.33	$2,671.45
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 $1,824.48 / $2,687.80 / $3,709.16	Professional		$1,824.48	$2,687.80	$3,709.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,076.82 / $2,699.87 / $3,115.23	Facility		$2,076.82	$2,699.87	$3,115.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,076.82 / $2,492.17 / $3,115.23	Professional		$2,076.82	$2,492.17	$3,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,159.29 / $2,801.77 / $4,501.26	Professional		$2,159.29	$2,801.77	$4,501.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,901.99 / $2,495.37 / $4,326.47	Professional		$1,901.99	$2,495.37	$4,326.47