Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.78 / $2,268.09 / $12,770.20	Facility		$2,126.78	$2,268.09	$12,770.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,009.70 / $2,296.80 / $2,641.32	Professional		$2,009.70	$2,296.80	$2,641.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.76 / $2,583.90 / $3,017.42	Facility		$87.76	$2,583.90	$3,017.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $87.76 / $1,148.40	Professional		$74.59	$87.76	$1,148.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,445.20 / $4,019.40 / $4,737.14	Facility		$3,445.20	$4,019.40	$4,737.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,301.65 / $4,019.40 / $5,742.00	Professional		$3,301.65	$4,019.40	$5,742.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,866.15 / $2,233.92 / $3,788.28	Facility		$1,866.15	$2,233.92	$3,788.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.60 / $3,332.03 / $13,838.22	Professional		$1,310.60	$3,332.03	$13,838.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,722.60 / $2,871.00	Professional		$1,205.82	$1,722.60	$2,871.00