Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $2,570.40 / $2,570.40	Facility		$28.84	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,715.35	Professional		$2,089.30	$2,570.40	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $6,918.31	Facility		$2,818.38	$5,623.41	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $5,011.87	Professional		$2,754.23	$2,818.38	$5,011.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $7,079.46	Facility		$4,677.35	$5,888.44	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $5,623.41	Facility		$2,570.40	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,786.30	Professional		$2,570.40	$2,570.40	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $4,365.16	Facility		$3,019.95	$3,630.78	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $3,630.78	Professional		$1,513.56	$2,691.53	$3,630.78