Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,742.35 / $2,742.35 / $5,762.36	Facility		$2,742.35	$2,742.35	$5,762.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,730.83 / $2,797.20 / $2,856.30	Professional		$2,730.83	$2,797.20	$2,856.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,552.26 / $5,157.31 / $5,762.36	Facility		$4,552.26	$5,157.31	$5,762.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.48 / $3,569.66 / $4,819.04	Professional		$776.48	$3,569.66	$4,819.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,321.77 / $6,338.60 / $8,276.18	Facility		$4,321.77	$6,338.60	$8,276.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,898.01 / $6,338.60 / $7,779.19	Professional		$4,898.01	$6,338.60	$7,779.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $5,762.36	Facility		$3,728.42	$3,728.42	$5,762.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,728.42 / $5,911.06	Professional		$2,721.75	$3,728.42	$5,911.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,708.34 / $2,874.78 / $4,072.61	Professional		$1,708.34	$2,874.78	$4,072.61