Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.07 / $3,357.54 / $10,773.30	Facility		$2,394.07	$3,357.54	$10,773.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,306.48 / $2,394.07 / $2,919.60	Professional		$2,306.48	$2,394.07	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,306.48 / $2,613.04 / $8,758.79	Facility		$2,306.48	$2,613.04	$8,758.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,167.83 / $1,658.33	Professional		$100.00	$1,167.83	$1,658.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $3,503.52 / $4,087.44	Facility		$2,919.60	$3,503.52	$4,087.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,065.58 / $4,087.44	Professional		$2,919.60	$3,065.58	$4,087.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $2,919.60 / $6,792.28	Facility		$1,897.74	$2,919.60	$6,792.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.55 / $3,354.80 / $4,233.00	Professional		$1,541.55	$3,354.80	$4,233.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Facility		$2,919.60	$2,919.60	$2,919.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $2,919.60	Professional		$1,226.23	$1,751.76	$2,919.60