Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,499.10 / $2,499.10 / $5,251.23	Facility		$2,499.10	$2,499.10	$5,251.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,499.10 / $2,549.08 / $2,969.63	Professional		$2,499.10	$2,549.08	$2,969.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,148.47 / $4,699.85 / $5,251.23	Facility		$4,148.47	$4,699.85	$5,251.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,246.42 / $3,443.26 / $4,751.68	Professional		$3,246.42	$3,443.26	$4,751.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,463.55 / $5,776.35 / $7,876.85	Facility		$4,463.55	$5,776.35	$7,876.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,463.55 / $5,776.35 / $7,089.16	Professional		$4,463.55	$5,776.35	$7,089.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $5,251.23	Facility		$3,323.97	$3,323.97	$5,251.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $3,323.97 / $5,386.75	Professional		$2,426.50	$3,323.97	$5,386.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,496.65 / $2,619.78 / $4,154.96	Professional		$1,496.65	$2,619.78	$4,154.96