Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.70 / $4,042.10 / $8,985.15	Facility		$1,996.70	$4,042.10	$8,985.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,801.90 / $1,996.70 / $2,069.75	Professional		$1,801.90	$1,996.70	$2,069.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,435.00 / $7,305.00 / $13,219.62	Facility		$2,435.00	$7,305.00	$13,219.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $121.34 / $2,678.50	Professional		$103.13	$121.34	$2,678.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,435.00 / $3,165.50 / $3,896.00	Facility		$2,435.00	$3,165.50	$3,896.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,922.00 / $3,652.50	Professional		$2,435.00	$2,922.00	$3,652.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,582.75 / $4,602.22 / $9,495.70	Facility		$1,582.75	$4,602.22	$9,495.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,798.08 / $2,982.27 / $7,106.46	Professional		$2,798.08	$2,982.27	$7,106.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,461.00 / $2,676.07	Professional		$1,022.70	$1,461.00	$2,676.07