Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,298.77 / $2,298.77 / $4,830.29	Facility		$2,298.77	$2,298.77	$4,830.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,298.77 / $2,358.54 / $2,403.67	Professional		$2,298.77	$2,358.54	$2,403.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,815.93 / $4,323.10 / $4,830.29	Facility		$3,815.93	$4,323.10	$4,830.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,420.00 / $2,902.12 / $4,004.92	Professional		$2,420.00	$2,902.12	$4,004.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,642.34 / $5,313.32 / $7,245.44	Facility		$3,642.34	$5,313.32	$7,245.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,105.75 / $5,313.32 / $6,520.89	Professional		$4,105.75	$5,313.32	$6,520.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $4,830.29	Facility		$2,886.72	$2,886.72	$4,830.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $4,954.93	Professional		$2,107.31	$2,886.72	$4,954.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,904.03 / $6,904.03 / $6,904.03	Facility		$6,904.03	$6,904.03	$6,904.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.14 / $2,409.78 / $3,414.19	Professional		$1,435.14	$2,409.78	$3,414.19