Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,552.00 / $6,657.39 / $8,188.60	Facility		$2,552.00	$6,657.39	$8,188.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,509.01 / $1,819.69 / $2,219.13	Professional		$1,509.01	$1,819.69	$2,219.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.20 / $6,657.39 / $12,047.66	Facility		$1,549.20	$6,657.39	$12,047.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.82 / $1,549.20 / $2,087.08	Professional		$1,316.82	$1,549.20	$2,087.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,045.89 / $2,250.48 / $30,688.35	Facility		$2,045.89	$2,250.48	$30,688.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,045.89 / $2,219.13 / $30,688.35	Professional		$2,045.89	$2,219.13	$30,688.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.43 / $4,193.85 / $8,654.17	Facility		$1,442.43	$4,193.85	$8,654.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.94 / $2,549.86 / $3,187.33	Professional		$2,044.94	$2,549.86	$3,187.33
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $1,331.48 / $2,219.13	Professional		$932.03	$1,331.48	$2,219.13