Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,059.67 / $3,175.86 / $17,227.09	Facility		$3,059.67	$3,175.86	$17,227.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,098.40 / $3,873.00	Professional		$2,711.10	$3,098.40	$3,873.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.20 / $3,485.70 / $4,070.52	Facility		$1,549.20	$3,485.70	$4,070.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $3,098.40 / $3,098.40	Professional		$1,549.20	$3,098.40	$3,098.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $5,422.20 / $6,390.45	Facility		$4,647.60	$5,422.20	$6,390.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,453.95 / $5,228.55 / $7,746.00	Professional		$4,453.95	$5,228.55	$7,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $3,013.58 / $5,110.42	Facility		$2,517.44	$3,013.58	$5,110.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,762.28 / $4,260.30 / $18,667.86	Professional		$1,762.28	$4,260.30	$18,667.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $4,260.30	Professional		$1,626.66	$2,323.80	$4,260.30