Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.32 / $1,879.32 / $3,948.90	Facility		$1,879.32	$1,879.32	$3,948.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.62 / $1,879.32 / $1,954.49	Professional		$1,620.62	$1,879.32	$1,954.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,119.63 / $3,534.27 / $3,948.90	Facility		$3,119.63	$3,534.27	$3,948.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,966.59 / $2,000.39 / $2,760.53	Professional		$1,966.59	$2,000.39	$2,760.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,783.21 / $4,146.35 / $5,528.46	Facility		$2,783.21	$4,146.35	$5,528.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,356.57 / $4,343.79 / $5,331.02	Professional		$3,356.57	$4,343.79	$5,331.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $3,948.90	Facility		$2,694.60	$2,694.60	$3,948.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,050.81	Professional		$1,967.06	$1,967.06	$4,050.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.03 / $1,970.06 / $2,638.55	Professional		$1,089.03	$1,970.06	$2,638.55