Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,922.87 / $4,922.87 / $10,344.20	Facility		$4,922.87	$4,922.87	$10,344.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,841.02 / $5,021.32 / $5,119.78	Professional		$4,841.02	$5,021.32	$5,119.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,857.64 / $4,857.64 / $9,375.26	Facility		$4,857.64	$4,857.64	$9,375.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,857.64 / $4,857.64 / $7,926.63	Professional		$4,857.64	$4,857.64	$7,926.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,608.50 / $11,378.58 / $15,191.48	Facility		$8,608.50	$11,378.58	$15,191.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,792.54 / $11,378.58 / $13,964.62	Professional		$8,792.54	$11,378.58	$13,964.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $10,344.16	Facility		$5,687.89	$5,687.89	$10,344.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $5,687.89 / $10,611.11	Professional		$4,834.71	$5,687.89	$10,611.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,027.48 / $5,160.59 / $7,310.83	Professional		$3,027.48	$5,160.59	$7,310.83