Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.67 / $1,908.67 / $3,856.33	Facility		$1,908.67	$1,908.67	$3,856.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,835.26 / $1,944.53 / $2,071.27	Professional		$1,835.26	$1,944.53	$2,071.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,046.50 / $3,451.42 / $3,856.33	Facility		$3,046.50	$3,451.42	$3,856.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,881.25 / $2,048.37 / $2,826.75	Professional		$1,881.25	$2,048.37	$2,826.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,907.95 / $4,241.96 / $5,784.50	Facility		$2,907.95	$4,241.96	$5,784.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,277.88 / $4,241.96 / $5,206.05	Professional		$3,277.88	$4,241.96	$5,206.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $3,856.33	Facility		$2,326.75	$2,326.75	$3,856.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $3,955.85	Professional		$1,698.53	$2,326.75	$3,955.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.77 / $1,838.11 / $2,607.62	Professional		$1,145.77	$1,838.11	$2,607.62