Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,592.48 / $2,592.48 / $5,447.43	Facility		$2,592.48	$2,592.48	$5,447.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,163.28 / $2,592.48 / $2,696.17	Professional		$2,163.28	$2,592.48	$2,696.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,303.47 / $4,875.45 / $5,447.43	Facility		$4,303.47	$4,875.45	$5,447.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,625.09 / $2,670.21 / $3,684.88	Professional		$2,625.09	$2,670.21	$3,684.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,715.15 / $5,719.80 / $7,626.40	Facility		$3,715.15	$5,719.80	$7,626.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,630.32 / $5,992.17 / $7,354.03	Professional		$4,630.32	$5,992.17	$7,354.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $5,447.43	Facility		$3,523.90	$3,523.90	$5,447.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,523.90 / $4,938.85	Professional		$2,572.44	$3,523.90	$4,938.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,453.68 / $2,717.66 / $3,602.54	Professional		$1,453.68	$2,717.66	$3,602.54