Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,335.91 / $8,335.91 / $17,515.80	Facility		$8,335.91	$8,335.91	$17,515.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,335.91 / $8,552.65 / $8,732.61	Professional		$8,335.91	$8,552.65	$8,732.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,837.50 / $15,676.66 / $17,515.82	Facility		$13,837.50	$15,676.66	$17,515.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,672.80 / $5,672.80 / $7,828.46	Professional		$5,672.80	$5,672.80	$7,828.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,208.08 / $19,267.40 / $26,273.73	Facility		$13,208.08	$19,267.40	$26,273.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14,888.45 / $19,267.40 / $23,646.36	Professional		$14,888.45	$19,267.40	$23,646.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,812.54 / $9,812.54 / $17,515.82	Facility		$9,812.54	$9,812.54	$17,515.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,340.66 / $9,812.54 / $17,967.84	Professional		$8,340.66	$9,812.54	$17,967.84
United Facility/Professional Professional Modifier Low / Median / High Price $5,222.91 / $8,738.45 / $12,425.25	Professional		$5,222.91	$8,738.45	$12,425.25