Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.40 / $2,006.40 / $4,215.93	Facility		$2,006.40	$2,006.40	$4,215.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,851.72 / $2,046.52 / $2,086.65	Professional		$1,851.72	$2,046.52	$2,086.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,330.58 / $3,773.26 / $4,215.93	Facility		$3,330.58	$3,773.26	$4,215.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,112.19 / $2,262.55 / $3,122.31	Professional		$2,112.19	$2,262.55	$3,122.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,161.95 / $4,637.52 / $5,902.30	Facility		$3,161.95	$4,637.52	$5,902.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,583.54 / $4,637.52 / $5,691.51	Professional		$3,583.54	$4,637.52	$5,691.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $4,215.93	Facility		$2,970.85	$2,970.85	$4,215.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,970.85 / $4,324.72	Professional		$2,168.71	$2,970.85	$4,324.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.75 / $2,103.28 / $2,953.07	Professional		$1,231.75	$2,103.28	$2,953.07