Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $9,332.54	Facility		$3,162.28	$5,370.32	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $3,801.89	Professional		$2,570.40	$3,090.30	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $239.88	Professional		$204.17	$239.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $46,773.51 / $97,723.72	Facility		$4,570.88	$46,773.51	$97,723.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $72,443.60	Professional		$4,265.80	$5,370.32	$72,443.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,165.95 / $6,165.95	Facility		$2,511.89	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $18,620.87 / $18,620.87	Professional		$4,897.79	$18,620.87	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,890.45	Professional		$1,621.81	$2,344.23	$3,890.45