Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,951.36 / $5,564.83	Facility		$2,318.00	$3,951.36	$5,564.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.72 / $3,771.83 / $5,055.57	Professional		$3,388.72	$3,771.83	$5,055.57
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 $1,971.61 / $2,390.00 / $3,487.34	Professional		$1,971.61	$2,390.00	$3,487.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,292.80 / $4,280.64 / $4,939.20	Facility		$3,292.80	$4,280.64	$4,939.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,292.80 / $3,951.36 / $4,939.20	Professional		$3,292.80	$3,951.36	$4,939.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $4,297.76	Facility		$761.00	$761.00	$4,297.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.34 / $4,052.33 / $7,373.89	Professional		$1,996.34	$4,052.33	$7,373.89
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 $2,963.52 / $4,133.53 / $6,964.03	Professional		$2,963.52	$4,133.53	$6,964.03