Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,820.97 / $4,820.97 / $10,130.00	Facility		$4,820.97	$4,820.97	$10,130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,585.64 / $4,917.39 / $5,042.16	Professional		$4,585.64	$4,917.39	$5,042.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,002.74 / $9,066.39 / $10,130.04	Facility		$8,002.74	$9,066.39	$10,130.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,075.20 / $5,539.38 / $7,644.34	Professional		$5,075.20	$5,539.38	$7,644.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,597.54 / $11,143.06 / $14,182.07	Facility		$7,597.54	$11,143.06	$14,182.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,610.54 / $11,143.06 / $13,675.57	Professional		$8,610.54	$11,143.06	$13,675.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $10,130.04	Facility		$6,553.03	$6,553.03	$10,130.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $10,062.58	Professional		$4,783.71	$6,553.03	$10,062.58
United Facility/Professional Professional Modifier Low / Median / High Price $3,015.68 / $5,053.77 / $7,174.26	Professional		$3,015.68	$5,053.77	$7,174.26