Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,912.51 / $19,498.45	Facility		$4,265.80	$8,912.51	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,011.87	Professional		$4,265.80	$4,265.80	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,309.57 / $9,332.54	Facility		$5,011.87	$6,309.57	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $6,309.57	Professional		$4,265.80	$4,265.80	$6,309.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $7,413.10	Facility		$4,168.69	$4,897.79	$7,413.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Facility		$4,265.80	$4,265.80	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,897.79	Professional		$4,265.80	$4,265.80	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $7,943.28	Facility		$4,168.69	$4,168.69	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $4,786.30	Professional		$4,073.80	$4,466.84	$4,786.30