Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.69 / $2,163.69 / $4,546.46	Facility		$2,163.69	$2,163.69	$4,546.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,163.69 / $2,219.94 / $2,262.42	Professional		$2,163.69	$2,219.94	$2,262.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,591.70 / $4,069.08 / $4,546.46	Facility		$3,591.70	$4,069.08	$4,546.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,185.26 / $2,731.58 / $3,687.63	Professional		$2,185.26	$2,731.58	$3,687.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,428.30 / $5,001.10 / $6,819.69	Facility		$3,428.30	$5,001.10	$6,819.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,864.49 / $5,001.10 / $6,137.72	Professional		$3,864.49	$5,001.10	$6,137.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $4,546.46	Facility		$2,941.06	$2,941.06	$4,546.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $4,663.78	Professional		$2,146.96	$2,146.96	$4,663.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $2,268.17 / $3,168.45	Professional		$1,350.82	$2,268.17	$3,168.45