Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,555.12 / $3,583.40 / $10,906.00	Facility		$2,555.12	$3,583.40	$10,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,305.84 / $2,555.12 / $2,960.20	Professional		$2,305.84	$2,555.12	$2,960.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,461.64 / $2,788.82 / $9,348.00	Facility		$2,461.64	$2,788.82	$9,348.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,246.40 / $1,720.03	Professional		$800.00	$1,246.40	$1,720.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $4,050.80 / $4,362.39	Facility		$3,116.00	$4,050.80	$4,362.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,739.20 / $4,674.00	Professional		$3,116.00	$3,739.20	$4,674.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,025.40 / $3,116.00 / $7,249.23	Facility		$2,025.40	$3,116.00	$7,249.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.25 / $2,804.36 / $4,532.00	Professional		$1,645.25	$2,804.36	$4,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,869.60 / $3,424.48	Professional		$1,308.72	$1,869.60	$3,424.48