Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $4,113.53 / $4,113.53	Facility		$1,645.41	$4,113.53	$4,113.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,645.41	Professional		$1,645.41	$1,645.41	$1,645.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.34 / $2,021.19 / $3,942.13	Facility		$802.34	$2,021.19	$3,942.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.50 / $937.50 / $1,490.62	Professional		$937.50	$937.50	$1,490.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,430.93 / $1,430.93 / $2,074.85	Facility		$1,430.93	$1,430.93	$2,074.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,430.93 / $1,430.93 / $2,217.94	Professional		$1,430.93	$1,430.93	$2,217.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,056.76	Professional		$1,748.25	$1,748.25	$2,056.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,289.52	Professional		$1,713.97	$1,713.97	$2,289.52