Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,212.29 / $3,212.29 / $6,749.81	Facility		$3,212.29	$3,212.29	$6,749.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,082.27 / $3,276.53 / $3,463.05	Professional		$3,082.27	$3,276.53	$3,463.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,332.35 / $6,041.08 / $6,749.81	Facility		$5,332.35	$6,041.08	$6,749.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,381.69 / $3,804.46 / $5,250.15	Professional		$3,381.69	$3,804.46	$5,250.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,062.35 / $7,424.79 / $9,449.73	Facility		$5,062.35	$7,424.79	$9,449.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,737.34 / $7,424.79 / $9,112.24	Professional		$5,737.34	$7,424.79	$9,112.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $6,749.81	Facility		$4,366.38	$4,366.38	$6,749.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $4,366.38 / $6,924.00	Professional		$3,187.46	$4,366.38	$6,924.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,071.23 / $3,367.41 / $4,787.54	Professional		$2,071.23	$3,367.41	$4,787.54