Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $2,116.32 / $3,597.74	Facility		$2,113.23	$2,116.32	$3,597.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $2,116.32 / $2,666.56	Professional		$2,113.23	$2,116.32	$2,666.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.84 / $2,495.66 / $4,232.64	Facility		$2,395.84	$2,495.66	$4,232.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.87 / $2,116.32 / $2,116.32	Professional		$1,798.87	$2,116.32	$2,116.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $2,299.87 / $3,386.11	Facility		$2,116.32	$2,299.87	$3,386.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,327.94 / $3,259.13	Professional		$2,116.32	$2,327.94	$3,259.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,078.71 / $2,116.32 / $2,116.32	Facility		$2,078.71	$2,116.32	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.41 / $2,116.32 / $3,897.82	Professional		$1,700.41	$2,116.32	$3,897.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $2,116.32 / $2,116.32	Professional		$2,113.23	$2,116.32	$2,116.32