Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $4,594.97 / $6,471.25	Facility		$2,318.00	$4,594.97	$6,471.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,127.60 / $4,436.80 / $5,892.46	Professional		$4,127.60	$4,436.80	$5,892.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $16,821.03 / $25,253.12	Facility		$4,838.00	$16,821.03	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,289.77 / $2,839.30 / $4,069.22	Professional		$2,289.77	$2,839.30	$4,069.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,829.14 / $4,977.88 / $5,743.71	Facility		$3,829.14	$4,977.88	$5,743.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,829.14 / $4,403.51 / $5,743.71	Professional		$3,829.14	$4,403.51	$5,743.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $5,017.04	Facility		$761.00	$761.00	$5,017.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,387.96 / $4,715.78 / $8,663.89	Professional		$2,387.96	$4,715.78	$8,663.89
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,321.23 / $4,778.76 / $8,386.40	Professional		$3,321.23	$4,778.76	$8,386.40