Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,638.86 / $3,660.83 / $6,223.41	Facility		$3,638.86	$3,660.83	$6,223.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,638.86 / $3,660.83 / $4,612.64	Professional		$3,638.86	$3,660.83	$4,612.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,144.34 / $4,317.03 / $7,321.66	Facility		$4,144.34	$4,317.03	$7,321.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,111.70 / $3,660.83 / $3,660.83	Professional		$3,111.70	$3,660.83	$3,660.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $3,978.30 / $5,857.33	Facility		$3,660.83	$3,978.30	$5,857.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $4,026.91 / $5,637.68	Professional		$3,660.83	$4,026.91	$5,637.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,827.86	Facility		$3,660.83	$3,660.83	$3,827.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,621.77 / $3,660.83 / $6,503.88	Professional		$2,621.77	$3,660.83	$6,503.88
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83