Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,656.80 / $3,726.00 / $11,955.60	Facility		$2,656.80	$3,726.00	$11,955.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,397.60 / $2,656.80 / $2,754.00	Professional		$2,397.60	$2,656.80	$2,754.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $9,720.00 / $17,589.96	Facility		$1,296.00	$9,720.00	$17,589.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,296.00 / $1,749.60	Professional		$846.27	$1,296.00	$1,749.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,212.00 / $5,184.00	Facility		$3,240.00	$4,212.00	$5,184.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,888.00 / $4,860.00	Professional		$3,240.00	$3,888.00	$4,860.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $3,240.00 / $7,221.65	Facility		$2,106.00	$3,240.00	$7,221.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.72 / $3,946.15 / $4,727.93	Professional		$1,710.72	$3,946.15	$4,727.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $3,560.76	Professional		$1,360.80	$1,944.00	$3,560.76