Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,743.27 / $3,743.27 / $7,865.54	Facility		$3,743.27	$3,743.27	$7,865.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,743.27 / $3,840.60 / $3,914.10	Professional		$3,743.27	$3,840.60	$3,914.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,300.34 / $4,300.34 / $8,299.66	Facility		$4,300.34	$4,300.34	$8,299.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,940.66 / $4,300.34 / $5,805.45	Professional		$3,940.66	$4,300.34	$5,805.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,931.12 / $8,652.09 / $11,798.31	Facility		$5,931.12	$8,652.09	$11,798.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,685.71 / $8,652.09 / $10,618.48	Professional		$6,685.71	$8,652.09	$10,618.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $7,865.54	Facility		$4,391.66	$4,391.66	$7,865.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $8,068.51	Professional		$3,732.91	$4,391.66	$8,068.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,337.54 / $3,924.03 / $5,403.12	Professional		$2,337.54	$3,924.03	$5,403.12