Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,013.07 / $6,804.78 / $12,876.80	Facility		$4,013.07	$6,804.78	$12,876.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,372.94 / $2,756.81 / $2,966.19	Professional		$2,372.94	$2,756.81	$2,966.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $10,468.89 / $18,945.20	Facility		$200.00	$10,468.89	$18,945.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $270.00	Professional		$170.00	$200.00	$270.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,489.63 / $4,536.52 / $5,583.41	Facility		$3,489.63	$4,536.52	$5,583.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $4,187.56 / $5,234.45	Professional		$3,489.63	$4,187.56	$5,234.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,268.26 / $6,595.23 / $13,608.90	Facility		$2,268.26	$6,595.23	$13,608.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $3,640.88 / $4,623.91	Professional		$264.00	$3,640.88	$4,623.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $2,093.78 / $3,835.10	Professional		$1,465.64	$2,093.78	$3,835.10