Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $4,511.30	Facility		$2,146.96	$2,146.96	$4,511.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,085.69 / $2,189.90 / $2,343.37	Professional		$2,085.69	$2,189.90	$2,343.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,563.93 / $4,037.61 / $4,511.30	Facility		$3,563.93	$4,037.61	$4,511.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,260.17 / $2,578.42 / $3,480.86	Professional		$2,260.17	$2,578.42	$3,480.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,383.48 / $4,962.43 / $6,321.03	Facility		$3,383.48	$4,962.43	$6,321.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,834.61 / $4,962.43 / $6,090.26	Professional		$3,834.61	$4,962.43	$6,090.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $4,511.30	Facility		$2,741.63	$2,741.63	$4,511.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $4,627.72	Professional		$2,001.39	$2,741.63	$4,627.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.55 / $2,250.64 / $3,189.74	Professional		$1,401.55	$2,250.64	$3,189.74