Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,423.42 / $2,423.42 / $5,092.22	Facility		$2,423.42	$2,423.42	$5,092.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,423.42 / $2,471.89 / $2,534.02	Professional		$2,423.42	$2,471.89	$2,534.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,022.85 / $4,557.54 / $5,092.22	Facility		$4,022.85	$4,557.54	$5,092.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,484.15 / $2,779.11 / $3,819.16	Professional		$2,484.15	$2,779.11	$3,819.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,839.86 / $5,601.44 / $7,638.33	Facility		$3,839.86	$5,601.44	$7,638.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,328.39 / $5,601.44 / $6,874.50	Professional		$4,328.39	$5,601.44	$6,874.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $5,092.22	Facility		$3,294.10	$3,294.10	$5,092.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $3,294.10 / $5,223.62	Professional		$2,404.69	$3,294.10	$5,223.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.96 / $2,540.44 / $3,497.15	Professional		$1,512.96	$2,540.44	$3,497.15