Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.26 / $2,160.26 / $4,539.22	Facility		$2,160.26	$2,160.26	$4,539.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,160.26 / $2,203.46 / $2,252.98	Professional		$2,160.26	$2,203.46	$2,252.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.99 / $4,062.61 / $4,539.22	Facility		$3,585.99	$4,062.61	$4,539.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,160.46 / $2,478.96 / $3,420.97	Professional		$2,160.46	$2,478.96	$3,420.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,815.71 / $4,312.29 / $6,127.96	Facility		$1,815.71	$4,312.29	$6,127.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,906.50 / $4,527.89 / $5,821.59	Professional		$1,906.50	$4,527.89	$5,821.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $4,539.22	Facility		$3,600.52	$3,600.52	$4,539.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,600.52 / $4,600.81	Professional		$3,060.44	$3,600.52	$4,600.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,347.50 / $2,264.57 / $3,114.68	Professional		$1,347.50	$2,264.57	$3,114.68