Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $4,453.95 / $13,555.50	Facility		$3,175.86	$4,453.95	$13,555.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,059.67 / $3,253.32 / $3,873.00	Professional		$3,059.67	$3,253.32	$3,873.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,059.67 / $3,466.34 / $11,619.00	Facility		$3,059.67	$3,466.34	$11,619.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,549.20 / $2,087.08	Professional		$100.00	$1,549.20	$2,087.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $5,034.89 / $5,422.20	Facility		$3,873.00	$5,034.89	$5,422.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,260.30 / $5,489.98	Professional		$3,873.00	$4,260.30	$5,489.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $3,873.00 / $9,010.82	Facility		$2,517.44	$3,873.00	$9,010.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.94 / $3,485.82 / $5,616.00	Professional		$2,044.94	$3,485.82	$5,616.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,647.60	Facility		$3,873.00	$3,873.00	$4,647.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,958.34 / $4,256.43	Professional		$1,626.66	$1,958.34	$4,256.43