Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $4,663.93 / $6,568.39	Facility		$2,318.00	$4,663.93	$6,568.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,184.41 / $4,493.46 / $5,974.30	Professional		$4,184.41	$4,493.46	$5,974.30
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 $2,274.16 / $2,836.50 / $4,125.02	Professional		$2,274.16	$2,836.50	$4,125.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,886.62 / $5,052.60 / $5,829.93	Facility		$3,886.62	$5,052.60	$5,829.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,886.62 / $4,663.93 / $5,829.93	Professional		$3,886.62	$4,663.93	$5,829.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $5,083.51	Facility		$761.00	$761.00	$5,083.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,339.34 / $4,884.39 / $8,730.92	Professional		$2,339.34	$4,884.39	$8,730.92
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 $3,455.73 / $5,025.43 / $9,455.68	Professional		$3,455.73	$5,025.43	$9,455.68