Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.37 / $5,159.81 / $9,604.67	Facility		$2,134.37	$5,159.81	$9,604.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,137.48 / $2,137.48	Professional		$2,116.32	$2,137.48	$2,137.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $4,232.64 / $5,608.25	Facility		$2,116.32	$4,232.64	$5,608.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.87 / $2,116.32 / $3,005.17	Professional		$1,798.87	$2,116.32	$3,005.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $3,174.48	Facility		$2,116.32	$2,116.32	$3,174.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,645.40	Professional		$2,116.32	$2,116.32	$2,645.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Facility		$2,116.32	$2,116.32	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,924.94 / $2,116.32 / $5,701.69	Professional		$1,924.94	$2,116.32	$5,701.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,624.24	Professional		$2,116.32	$2,116.32	$2,624.24