Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $6,813.16	Facility		$3,715.20	$3,715.20	$6,813.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $3,715.20	Professional		$3,715.20	$3,715.20	$3,715.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $4,633.35 / $10,255.50	Facility		$1,914.61	$4,633.35	$10,255.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $648.00 / $6,346.80	Professional		$648.00	$648.00	$6,346.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,467.84 / $5,467.84 / $6,561.41	Facility		$5,467.84	$5,467.84	$6,561.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,467.84 / $5,467.84 / $8,475.15	Professional		$5,467.84	$5,467.84	$8,475.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,798.80	Professional		$3,870.00	$3,870.00	$4,798.80