Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $5,168.22 / $8,785.99	Facility		$4,968.58	$5,168.22	$8,785.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,850.83 / $6,094.61 / $10,336.45	Facility		$5,850.83	$6,094.61	$10,336.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,392.99 / $5,168.22 / $5,168.22	Professional		$4,392.99	$5,168.22	$5,168.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $8,269.17	Facility		$5,168.22	$5,168.22	$8,269.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,426.64 / $7,235.52	Professional		$5,168.22	$5,426.64	$7,235.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $5,168.22 / $5,168.22	Facility		$4,968.58	$5,168.22	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,780.19 / $5,168.22 / $9,014.04	Professional		$3,780.19	$5,168.22	$9,014.04
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22