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 $2,866.02 / $3,175.86 / $3,485.70	Professional		$2,866.02	$3,175.86	$3,485.70
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 $1,549.20 / $1,549.20 / $2,137.89	Professional		$1,549.20	$1,549.20	$2,137.89
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 / $4,647.60 / $5,809.50	Professional		$3,873.00	$4,647.60	$5,809.50
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 $1,689.18 / $2,692.92 / $5,563.11	Professional		$1,689.18	$2,692.92	$5,563.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $3,873.00	Facility		$3,873.00	$3,873.00	$3,873.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $4,256.43	Professional		$1,626.66	$2,323.80	$4,256.43