Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,195.56 / $3,195.56 / $6,714.65	Facility		$3,195.56	$3,195.56	$6,714.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,141.87 / $3,259.47 / $3,373.22	Professional		$3,141.87	$3,259.47	$3,373.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,304.57 / $6,009.61 / $6,714.65	Facility		$5,304.57	$6,009.61	$6,714.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,364.07 / $3,688.79 / $5,090.53	Professional		$3,364.07	$3,688.79	$5,090.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,035.99 / $7,386.12 / $9,521.87	Facility		$5,035.99	$7,386.12	$9,521.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,707.45 / $7,386.12 / $9,064.78	Professional		$5,707.45	$7,386.12	$9,064.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $6,714.65	Facility		$3,790.37	$3,790.37	$6,714.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $6,887.94	Professional		$2,766.97	$3,790.37	$6,887.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,017.50 / $3,349.87 / $4,805.82	Professional		$2,017.50	$3,349.87	$4,805.82