Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,117.45 / $5,117.45 / $10,753.00	Facility		$5,117.45	$5,117.45	$10,753.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,078.57 / $5,219.79 / $5,419.78	Professional		$5,078.57	$5,219.79	$5,419.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,494.89 / $9,623.95 / $10,753.02	Facility		$8,494.89	$9,623.95	$10,753.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,387.30 / $6,543.68 / $8,871.24	Professional		$5,387.30	$6,543.68	$8,871.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,212.73 / $11,828.32 / $16,129.53	Facility		$8,212.73	$11,828.32	$16,129.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,140.07 / $11,828.32 / $14,516.58	Professional		$9,140.07	$11,828.32	$14,516.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $10,753.02	Facility		$7,503.37	$7,503.37	$10,753.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $7,503.37 / $11,030.51	Professional		$5,477.46	$7,503.37	$11,030.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,133.24 / $5,364.56 / $7,242.34	Professional		$3,133.24	$5,364.56	$7,242.34