Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,940.57 / $1,940.57 / $4,077.61	Facility		$1,940.57	$1,940.57	$4,077.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.78 / $1,940.57 / $2,018.19	Professional		$1,640.78	$1,940.57	$2,018.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,221.31 / $3,649.46 / $4,077.61	Facility		$3,221.31	$3,649.46	$4,077.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,991.05 / $2,025.27 / $2,794.87	Professional		$1,991.05	$2,025.27	$2,794.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,817.82 / $4,281.49 / $5,708.65	Facility		$2,817.82	$4,281.49	$5,708.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,465.97 / $4,485.37 / $5,504.77	Professional		$3,465.97	$4,485.37	$5,504.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,077.61	Facility		$2,637.76	$2,637.76	$4,077.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $4,024.27	Professional		$1,925.56	$2,637.76	$4,024.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.57 / $2,034.28 / $2,724.54	Professional		$1,102.57	$2,034.28	$2,724.54