Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $4,686.85 / $7,967.65	Facility		$4,672.47	$4,686.85	$7,967.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,305.87 / $5,526.95 / $9,373.70	Facility		$5,305.87	$5,526.95	$9,373.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,983.82 / $4,686.85 / $4,686.85	Professional		$3,983.82	$4,686.85	$4,686.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $5,093.26 / $7,498.96	Facility		$4,686.85	$5,093.26	$7,498.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $5,155.54 / $7,217.75	Professional		$4,686.85	$5,155.54	$7,217.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,687.66	Facility		$4,686.85	$4,686.85	$4,687.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,808.08 / $4,686.85 / $8,643.82	Professional		$3,808.08	$4,686.85	$8,643.82
United Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,686.85 / $4,686.85	Professional		$4,672.47	$4,686.85	$4,686.85