Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,719.18 / $11,013.00 / $21,236.40	Facility		$4,719.18	$11,013.00	$21,236.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,733.72 / $4,733.72	Professional		$4,686.85	$4,733.72	$4,733.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $9,373.70 / $12,420.15	Facility		$4,686.85	$9,373.70	$12,420.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,983.82 / $4,686.85 / $6,655.32	Professional		$3,983.82	$4,686.85	$6,655.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $7,030.28	Facility		$4,686.85	$4,686.85	$7,030.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,858.56	Professional		$4,686.85	$4,686.85	$5,858.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Facility		$4,686.85	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,238.68 / $4,686.85 / $12,619.12	Professional		$4,238.68	$4,686.85	$12,619.12
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $6,213.50	Professional		$4,686.85	$4,686.85	$6,213.50