Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,459.30 / $2,459.30 / $5,167.59	Facility		$2,459.30	$2,459.30	$5,167.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,086.13 / $2,459.30 / $2,557.67	Professional		$2,086.13	$2,459.30	$2,557.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,082.40 / $4,624.99 / $5,167.59	Facility		$4,082.40	$4,624.99	$5,167.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,531.48 / $2,574.31 / $3,552.54	Professional		$2,531.48	$2,574.31	$3,552.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,582.65 / $5,425.97 / $7,234.63	Facility		$3,582.65	$5,425.97	$7,234.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,392.45 / $5,684.35 / $6,976.25	Professional		$4,392.45	$5,684.35	$6,976.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $5,167.59	Facility		$3,249.00	$3,249.00	$5,167.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $5,300.94	Professional		$2,371.77	$3,249.00	$5,300.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.84 / $2,578.06 / $3,417.46	Professional		$1,401.84	$2,578.06	$3,417.46