Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,912.42 / $3,912.42 / $3,912.42	Facility		$3,912.42	$3,912.42	$3,912.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,736.53 / $3,912.42 / $4,271.25	Professional		$2,736.53	$3,912.42	$4,271.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,327.68 / $4,327.68 / $8,352.44	Facility		$4,327.68	$4,327.68	$8,352.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,793.62 / $4,327.68 / $5,830.26	Professional		$3,793.62	$4,327.68	$5,830.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.70 / $729.85 / $7,579.17	Facility		$432.70	$729.85	$7,579.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.21 / $757.92 / $7,958.13	Professional		$477.21	$757.92	$7,958.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $3,344.98 / $5,712.55	Professional		$462.00	$3,344.98	$5,712.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.26 / $2,634.40 / $4,591.35	Professional		$1,756.26	$2,634.40	$4,591.35