Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,904.07 / $11,676.40 / $11,676.40	Facility		$4,904.07	$11,676.40	$11,676.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $4,904.07 / $4,904.07	Professional		$4,904.07	$4,904.07	$4,904.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,074.81 / $6,532.32 / $11,749.34	Facility		$2,074.81	$6,532.32	$11,749.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,384.62 / $3,384.62 / $6,473.69	Professional		$3,384.62	$3,384.62	$6,473.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,997.87 / $1,997.87 / $2,896.91	Facility		$1,997.87	$1,997.87	$2,896.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,997.87 / $1,997.87 / $3,096.70	Professional		$1,997.87	$1,997.87	$3,096.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $6,130.09	Professional		$5,210.58	$5,210.58	$6,130.09
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $6,388.07	Professional		$5,108.41	$5,108.41	$6,388.07