Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,041.56 / $10,103.90 / $10,103.90	Facility		$4,041.56	$10,103.90	$10,103.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,041.56	Professional		$4,041.56	$4,041.56	$4,041.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,978.41 / $8,419.92 / $12,629.88	Facility		$3,978.41	$8,419.92	$12,629.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $648.00 / $2,275.98	Professional		$648.00	$648.00	$2,275.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,283.55 / $4,283.55 / $5,355.07	Facility		$4,283.55	$4,283.55	$5,355.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,283.55 / $4,283.55 / $6,639.50	Professional		$4,283.55	$4,283.55	$6,639.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $5,051.95	Professional		$4,294.16	$4,294.16	$5,051.95
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,220.35	Professional		$4,209.96	$4,209.96	$5,220.35