Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.07 / $4,758.95 / $10,773.30	Facility		$2,394.07	$4,758.95	$10,773.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,160.50 / $2,394.07 / $2,481.66	Professional		$2,160.50	$2,394.07	$2,481.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,167.83 / $8,758.79 / $15,850.51	Facility		$1,167.83	$8,758.79	$15,850.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $1,576.58	Professional		$1,167.83	$1,167.83	$1,576.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.87 / $2,919.60 / $3,941.46	Facility		$2,691.87	$2,919.60	$3,941.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,691.87 / $2,919.60 / $40,378.05	Professional		$2,691.87	$2,919.60	$40,378.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $5,518.03 / $11,385.66	Facility		$1,897.74	$5,518.03	$11,385.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.55 / $3,354.80 / $4,260.59	Professional		$1,541.55	$3,354.80	$4,260.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $3,208.64	Professional		$1,226.23	$1,751.76	$3,208.64