Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,133.71 / $2,133.71 / $4,483.45	Facility		$2,133.71	$2,133.71	$4,483.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,133.71 / $2,189.19 / $2,231.08	Professional		$2,133.71	$2,189.19	$2,231.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,541.93 / $4,012.69 / $4,483.45	Facility		$3,541.93	$4,012.69	$4,483.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,246.23 / $2,693.73 / $3,636.53	Professional		$2,246.23	$2,693.73	$3,636.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,380.81 / $4,931.80 / $6,725.18	Facility		$3,380.81	$4,931.80	$6,725.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,810.93 / $4,931.80 / $6,052.66	Professional		$3,810.93	$4,931.80	$6,052.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $4,483.45	Facility		$2,502.67	$2,502.67	$4,483.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $4,599.16	Professional		$1,826.95	$2,502.67	$4,599.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,332.09 / $2,236.75 / $3,079.07	Professional		$1,332.09	$2,236.75	$3,079.07