Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $4,549.89 / $10,762.20	Facility		$2,916.60	$4,549.89	$10,762.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $5,687.37 / $9,624.78	Professional		$2,916.60	$5,687.37	$9,624.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,167.83 / $8,749.79 / $15,834.22	Facility		$1,167.83	$8,749.79	$15,834.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,167.83 / $1,576.58	Professional		$846.27	$1,167.83	$1,576.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $3,791.58 / $4,666.56	Facility		$2,916.60	$3,791.58	$4,666.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $3,499.92 / $4,374.89	Professional		$2,916.60	$3,499.92	$4,374.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.79 / $2,916.60 / $6,500.58	Facility		$1,895.79	$2,916.60	$6,500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.55 / $3,552.58 / $4,256.39	Professional		$1,541.55	$3,552.58	$4,256.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,749.96 / $3,205.34	Professional		$1,224.97	$1,749.96	$3,205.34