Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,384.53 / $5,238.17	Facility		$2,326.37	$2,384.53	$5,238.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Professional		$2,326.37	$2,326.37	$2,326.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.41 / $2,622.87 / $6,044.01	Facility		$110.41	$2,622.87	$6,044.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $138.00 / $207.00	Professional		$110.40	$138.00	$207.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $91.86 / $119.42	Facility		$91.86	$91.86	$119.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $91.86 / $146.97	Professional		$91.86	$91.86	$146.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,444.48 / $2,554.44 / $6,722.32	Professional		$2,444.48	$2,554.44	$6,722.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,654.57 / $2,819.02	Professional		$2,349.17	$2,654.57	$2,819.02