Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.17 / $2,550.17 / $5,358.53	Facility		$2,550.17	$2,550.17	$5,358.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,213.21 / $2,550.17 / $2,652.17	Professional		$2,213.21	$2,550.17	$2,652.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,233.24 / $4,795.88 / $5,358.53	Facility		$4,233.24	$4,795.88	$5,358.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,684.65 / $2,731.85 / $3,769.95	Professional		$2,684.65	$2,731.85	$3,769.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,800.90 / $5,626.46 / $7,501.94	Facility		$3,800.90	$5,626.46	$7,501.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,554.75 / $5,894.38 / $7,234.02	Professional		$4,554.75	$5,894.38	$7,234.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $5,358.53	Facility		$3,813.78	$3,813.78	$5,358.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $3,813.78 / $5,496.82	Professional		$2,784.06	$3,813.78	$5,496.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,487.24 / $2,673.31 / $3,580.43	Professional		$1,487.24	$2,673.31	$3,580.43