Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,725.03 / $6,285.24 / $18,684.80	Facility		$2,725.03	$6,285.24	$18,684.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,237.66	Professional		$2,698.05	$2,698.05	$3,237.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $5,396.10 / $6,529.28	Facility		$2,698.05	$5,396.10	$6,529.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,723.30	Professional		$2,698.05	$2,698.05	$3,723.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $4,047.08	Facility		$2,698.05	$2,698.05	$4,047.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,372.56	Professional		$2,698.05	$2,698.05	$3,372.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Facility		$2,698.05	$2,698.05	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,054.40	Professional		$2,698.05	$2,698.05	$3,054.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,859.93 / $3,032.61	Professional		$2,698.05	$2,859.93	$3,032.61