Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,678.89 / $10,820.00 / $21,055.00	Facility		$4,678.89	$10,820.00	$21,055.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,678.89 / $4,971.34	Professional		$4,678.89	$4,678.89	$4,971.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $10,332.58	Facility		$0.02	$0.03	$10,332.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $5,166.29 / $6,974.49	Professional		$4,971.34	$5,166.29	$6,974.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,626.91 / $5,046.13 / $6,908.69	Facility		$3,626.91	$5,046.13	$6,908.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,205.10 / $5,046.13 / $6,307.67	Professional		$4,205.10	$5,046.13	$6,307.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Facility		$4,971.34	$4,971.34	$4,971.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,667.16	Professional		$4,971.34	$4,971.34	$5,667.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,166.29 / $5,588.40	Professional		$4,873.85	$5,166.29	$5,588.40