Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $11,002.56	Professional		$1,908.26	$1,908.26	$11,002.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,183.89 / $4,183.89 / $8,074.91	Facility		$4,183.89	$4,183.89	$8,074.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,703.20 / $4,183.89 / $4,800.00	Professional		$1,703.20	$4,183.89	$4,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.09 / $5,254.20 / $9,002.53	Facility		$626.09	$5,254.20	$9,002.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $736.57 / $1,104.85 / $9,207.14	Professional		$736.57	$1,104.85	$9,207.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $5,522.73 / $5,522.73	Professional		$4,300.60	$5,522.73	$5,522.73