Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $12,590.60 / $22,663.20	Facility		$5,036.26	$12,590.60	$22,663.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $5,036.26	Professional		$5,036.26	$5,036.26	$5,036.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,871.93 / $9,743.87 / $12,066.03	Facility		$4,871.93	$9,743.87	$12,066.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $5,246.10	Professional		$3,500.00	$3,500.00	$5,246.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,561.33 / $5,561.33 / $10,072.51	Facility		$5,561.33	$5,561.33	$10,072.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $14,715.31	Professional		$5,351.02	$5,351.02	$14,715.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,011.25 / $9,710.60 / $9,710.60	Facility		$8,011.25	$9,710.60	$9,710.60
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $6,505.16	Professional		$5,246.10	$5,246.10	$6,505.16