Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,623.41 / $11,220.18	Facility		$2,454.71	$5,623.41	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,370.32	Facility		$2,884.03	$3,630.78	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,630.78	Professional		$2,454.71	$2,454.71	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,365.16	Facility		$2,454.71	$2,884.03	$4,365.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,623.41	Facility		$2,454.71	$2,454.71	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,897.79	Facility		$1,995.26	$1,995.26	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $2,754.23	Professional		$2,454.71	$2,570.40	$2,754.23