Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,995.99 / $2,995.99 / $6,295.32	Facility		$2,995.99	$2,995.99	$6,295.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,711.97 / $2,995.99 / $3,115.83	Professional		$2,711.97	$2,995.99	$3,115.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,973.30 / $5,634.31 / $6,295.32	Facility		$4,973.30	$5,634.31	$6,295.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,153.97 / $3,205.32 / $4,423.34	Professional		$3,153.97	$3,205.32	$4,423.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,657.43 / $6,849.18 / $8,813.45	Facility		$4,657.43	$6,849.18	$8,813.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $6,924.85 / $8,498.68	Professional		$5,351.02	$6,924.85	$8,498.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $6,295.32	Facility		$4,072.36	$4,072.36	$6,295.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $4,072.36 / $5,924.70	Professional		$2,972.82	$4,072.36	$5,924.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,774.99 / $3,140.66 / $4,206.35	Professional		$1,774.99	$3,140.66	$4,206.35