Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.28 / $1,805.33 / $9,792.83	Facility		$1,739.28	$1,805.33	$9,792.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,739.28 / $1,805.33 / $2,201.62	Professional		$1,739.28	$1,805.33	$2,201.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.34 / $12.34	Professional		$9.42	$12.34	$12.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,201.62 / $3,522.59 / $49,848.78	Facility		$2,201.62	$3,522.59	$49,848.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,421.78 / $3,082.27 / $40,834.73	Professional		$2,421.78	$3,082.27	$40,834.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.05 / $1,680.05 / $2,641.94	Facility		$1,431.05	$1,680.05	$2,641.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.38 / $3,162.03 / $10,611.81	Professional		$2,476.38	$3,162.03	$10,611.81
United Facility/Professional Professional Modifier Low / Median / High Price $990.73 / $1,320.97 / $2,421.78	Professional		$990.73	$1,320.97	$2,421.78