Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $6,312.99 / $14,291.40	Facility		$3,175.86	$6,312.99	$14,291.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,866.02 / $3,175.86 / $3,679.35	Professional		$2,866.02	$3,175.86	$3,679.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,059.67 / $3,873.00 / $11,619.00	Facility		$3,059.67	$3,873.00	$11,619.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $3,873.00 / $5,217.70	Professional		$1,549.20	$3,873.00	$5,217.70
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 / $7,319.68 / $15,104.26	Facility		$2,517.44	$7,319.68	$15,104.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.96 / $4,450.49 / $5,652.12	Professional		$1,980.96	$4,450.49	$5,652.12
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