Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $4,453.95 / $14,291.40	Facility		$3,175.86	$4,453.95	$14,291.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,866.02 / $3,175.86 / $3,292.05	Professional		$2,866.02	$3,175.86	$3,292.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,059.67 / $3,466.34 / $11,619.00	Facility		$3,059.67	$3,466.34	$11,619.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,246.40 / $1,682.64	Professional		$846.27	$1,246.40	$1,682.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $5,034.89 / $7,552.35	Facility		$3,873.00	$5,034.89	$7,552.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,647.60 / $5,809.50	Professional		$3,873.00	$4,647.60	$5,809.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $3,873.00 / $8,632.41	Facility		$2,517.44	$3,873.00	$8,632.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.25 / $4,717.52 / $5,652.12	Professional		$1,645.25	$4,717.52	$5,652.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $4,256.43	Professional		$1,626.66	$2,323.80	$4,256.43