Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,212.07 / $2,212.07 / $4,648.10	Facility		$2,212.07	$2,212.07	$4,648.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,063.71 / $2,256.31 / $2,318.66	Professional		$2,063.71	$2,256.31	$2,318.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,672.01 / $4,160.06 / $4,648.10	Facility		$3,672.01	$4,160.06	$4,648.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,328.71 / $2,547.31 / $3,486.08	Professional		$2,328.71	$2,547.31	$3,486.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,486.08 / $5,112.92 / $6,507.35	Facility		$3,486.08	$5,112.92	$6,507.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,950.89 / $5,112.92 / $6,274.95	Professional		$3,950.89	$5,112.92	$6,274.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $4,648.10	Facility		$3,006.81	$3,006.81	$4,648.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,006.81 / $4,768.07	Professional		$2,194.96	$3,006.81	$4,768.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.78 / $2,318.89 / $3,205.46	Professional		$1,386.78	$2,318.89	$3,205.46