Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,472.46 / $15,652.30 / $29,336.00	Facility		$6,472.46	$15,652.30	$29,336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,472.46 / $6,472.46	Professional		$6,408.38	$6,472.46	$6,472.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $12,816.76 / $16,982.21	Facility		$6,408.38	$12,816.76	$16,982.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,447.12 / $6,408.38 / $9,099.89	Professional		$5,447.12	$6,408.38	$9,099.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $9,612.57	Facility		$6,408.38	$6,408.38	$9,612.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,010.48	Professional		$6,408.38	$6,408.38	$8,010.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Facility		$6,408.38	$6,408.38	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,708.60 / $6,408.38 / $18,217.43	Professional		$5,708.60	$6,408.38	$18,217.43
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $7,793.55	Professional		$6,408.38	$6,408.38	$7,793.55