Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,901.10 / $2,901.10 / $6,095.93	Facility		$2,901.10	$2,901.10	$6,095.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,600.09 / $2,921.30 / $3,017.14	Professional		$2,600.09	$2,921.30	$3,017.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,815.78 / $5,455.86 / $6,095.93	Facility		$4,815.78	$5,455.86	$6,095.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,054.08 / $3,194.59 / $4,408.53	Professional		$3,054.08	$3,194.59	$4,408.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,465.31 / $6,566.64 / $8,534.29	Facility		$4,465.31	$6,566.64	$8,534.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,181.54 / $6,705.52 / $8,229.51	Professional		$5,181.54	$6,705.52	$8,229.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $6,095.93	Facility		$3,943.38	$3,943.38	$6,095.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,943.38 / $5,894.99	Professional		$2,878.67	$3,943.38	$5,894.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,747.21 / $3,041.19 / $4,073.13	Professional		$1,747.21	$3,041.19	$4,073.13