Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $1,847.00 / $67,969.33	Facility		$1,828.72	$1,847.00	$67,969.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,861.13	Professional		$1,828.72	$1,828.72	$1,861.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,070.23 / $2,156.50 / $3,657.44	Facility		$2,070.23	$2,156.50	$3,657.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,554.41 / $1,828.72 / $1,828.72	Professional		$1,554.41	$1,828.72	$1,828.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $2,925.95	Facility		$1,828.72	$1,828.72	$2,925.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,920.16 / $2,560.21	Professional		$1,828.72	$1,920.16	$2,560.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $3,261.96	Facility		$1,828.71	$1,828.71	$3,261.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $3,284.72 / $3,573.86	Professional		$1,828.71	$3,284.72	$3,573.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72