Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,348.80 / $2,348.80 / $4,935.41	Facility		$2,348.80	$2,348.80	$4,935.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,348.80 / $2,409.87 / $2,455.94	Professional		$2,348.80	$2,409.87	$2,455.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,898.97 / $4,417.18 / $4,935.41	Facility		$3,898.97	$4,417.18	$4,935.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,472.65 / $2,965.25 / $4,092.04	Professional		$2,472.65	$2,965.25	$4,092.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,721.57 / $5,428.95 / $7,403.12	Facility		$3,721.57	$5,428.95	$7,403.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,195.10 / $5,428.95 / $6,662.80	Professional		$4,195.10	$5,428.95	$6,662.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $4,935.41	Facility		$2,801.20	$2,801.20	$4,935.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $5,062.78	Professional		$2,044.88	$2,044.88	$5,062.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,466.37 / $2,462.21 / $3,389.45	Professional		$1,466.37	$2,462.21	$3,389.45