Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,810.58 / $8,182.63 / $17,147.59	Facility		$3,810.58	$8,182.63	$17,147.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,855.45 / $3,855.45	Professional		$3,817.28	$3,855.45	$3,855.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $7,634.56 / $10,115.79	Facility		$3,817.28	$7,634.56	$10,115.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,244.68 / $3,817.28 / $5,420.53	Professional		$3,244.68	$3,817.28	$5,420.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $5,267.82	Facility		$3,817.28	$3,817.28	$5,267.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,771.60	Professional		$3,817.28	$3,817.28	$4,771.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $7,753.62	Facility		$3,817.28	$3,817.28	$7,753.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,092.44 / $3,817.28 / $9,563.45	Professional		$3,092.44	$3,817.28	$9,563.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,249.43 / $4,733.43	Professional		$3,817.28	$4,249.43	$4,733.43