Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,526.39 / $8,875.35 / $20,368.80	Facility		$4,526.39	$8,875.35	$20,368.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,084.80 / $4,526.39 / $5,244.00	Professional		$4,084.80	$4,526.39	$5,244.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,301.55 / $4,873.28 / $16,335.00	Facility		$4,301.55	$4,873.28	$16,335.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,036.00	Professional		$2,200.00	$2,200.00	$3,036.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,445.00 / $7,078.50 / $7,623.00	Facility		$5,445.00	$7,078.50	$7,623.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,445.00 / $6,534.00 / $8,167.50	Professional		$5,445.00	$6,534.00	$8,167.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,539.25 / $10,290.84 / $21,449.63	Facility		$3,539.25	$10,290.84	$21,449.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,474.89 / $3,959.89 / $7,946.33	Professional		$2,474.89	$3,959.89	$7,946.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $3,300.00 / $6,044.50	Professional		$2,310.00	$3,300.00	$6,044.50