Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $8,128.31	Facility		$1,819.70	$4,365.16	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,995.26	Professional		$1,819.70	$1,819.70	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,981.07	Facility		$2,137.96	$2,691.53	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,467.37	Professional		$1,819.70	$1,819.70	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,630.78	Facility		$1,819.70	$2,691.53	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,011.87	Professional		$1,819.70	$1,819.70	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,630.78	Facility		$1,819.70	$1,819.70	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,137.96	Professional		$1,819.70	$2,041.74	$2,137.96