Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,569.33 / $6,100.25 / $17,617.20	Facility		$2,569.33	$6,100.25	$17,617.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,585.41 / $2,608.16 / $2,868.97	Professional		$2,585.41	$2,608.16	$2,868.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $5,216.32 / $6,311.75	Facility		$2,608.16	$5,216.32	$6,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,599.26	Professional		$2,608.16	$2,608.16	$3,599.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,912.24	Facility		$2,608.16	$2,608.16	$3,912.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,260.20	Professional		$2,608.16	$2,608.16	$3,260.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,010.31	Facility		$2,608.16	$2,608.16	$3,010.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,117.79	Professional		$2,608.16	$2,608.16	$3,117.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,411.16 / $5,346.86 / $5,346.86	Facility		$4,411.16	$5,346.86	$5,346.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $3,234.12	Professional		$2,608.16	$2,764.65	$3,234.12