Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,632.34 / $2,632.34 / $5,531.20	Facility		$2,632.34	$2,632.34	$5,531.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,522.87 / $2,684.99 / $2,737.63	Professional		$2,522.87	$2,684.99	$2,737.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,369.64 / $4,950.42 / $5,531.20	Facility		$4,369.64	$4,950.42	$5,531.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,771.15 / $2,952.48 / $4,074.42	Professional		$2,771.15	$2,952.48	$4,074.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,148.39 / $6,084.32 / $7,743.68	Facility		$4,148.39	$6,084.32	$7,743.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,701.52 / $6,084.32 / $7,467.12	Professional		$4,701.52	$6,084.32	$7,467.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $5,531.20	Facility		$3,578.08	$3,578.08	$5,531.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $5,673.94	Professional		$2,612.00	$2,612.00	$5,673.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.34 / $2,759.45 / $3,715.30	Professional		$1,607.34	$2,759.45	$3,715.30