Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,933.80 / $1,933.80 / $4,063.39	Facility		$1,933.80	$1,933.80	$4,063.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,933.80 / $1,984.08 / $2,031.49	Professional		$1,933.80	$1,984.08	$2,031.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,210.08 / $3,636.73 / $4,063.39	Facility		$3,210.08	$3,636.73	$4,063.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.25 / $2,207.84 / $3,046.81	Professional		$1,982.25	$2,207.84	$3,046.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,064.02 / $4,469.72 / $6,095.09	Facility		$3,064.02	$4,469.72	$6,095.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,453.88 / $4,469.72 / $5,485.58	Professional		$3,453.88	$4,469.72	$5,485.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $4,063.39	Facility		$2,282.71	$2,282.71	$4,063.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $4,168.24	Professional		$1,666.39	$1,666.39	$4,168.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.02 / $2,027.18 / $2,808.47	Professional		$1,215.02	$2,027.18	$2,808.47