Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.63 / $2,443.63 / $4,937.18	Facility		$2,443.63	$2,443.63	$4,937.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,349.65 / $2,453.26 / $2,651.81	Professional		$2,349.65	$2,453.26	$2,651.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,900.38 / $4,418.79 / $4,937.18	Facility		$3,900.38	$4,418.79	$4,937.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,408.53 / $2,887.26 / $3,897.80	Professional		$2,408.53	$2,887.26	$3,897.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,722.97 / $5,430.91 / $7,405.79	Facility		$3,722.97	$5,430.91	$7,405.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,196.60 / $5,430.91 / $6,665.21	Professional		$4,196.60	$5,430.91	$6,665.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $4,937.18	Facility		$2,756.64	$2,756.64	$4,937.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $5,064.60	Professional		$2,012.35	$2,012.35	$5,064.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,467.28 / $2,360.29 / $3,316.11	Professional		$1,467.28	$2,360.29	$3,316.11