Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $4,369.58 / $4,369.58	Facility		$1,857.07	$4,369.58	$4,369.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $1,857.07	Professional		$1,857.07	$1,857.07	$1,857.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.87 / $2,093.76 / $4,187.52	Facility		$719.87	$2,093.76	$4,187.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.25 / $1,307.35 / $1,856.45	Professional		$1,111.25	$1,307.35	$1,856.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.73 / $539.90 / $3,495.66	Facility		$441.73	$539.90	$3,495.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $4,396.35	Facility		$2,039.14	$2,039.14	$4,396.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,951.33 / $2,039.14 / $5,607.64	Professional		$1,951.33	$2,039.14	$5,607.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,119.07 / $2,250.34	Professional		$1,875.28	$2,119.07	$2,250.34