Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.29 / $2,812.22 / $2,812.22	Facility		$535.29	$2,812.22	$2,812.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,812.22	Professional		$2,784.38	$2,784.38	$2,812.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $3,283.46 / $5,373.85	Facility		$2,784.38	$3,283.46	$5,373.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,953.81	Professional		$2,784.38	$2,784.38	$3,953.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,176.57	Facility		$2,784.38	$2,784.38	$4,176.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,341.26	Professional		$2,784.38	$2,784.38	$3,341.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $2,784.38 / $2,784.38	Professional		$265.10	$2,784.38	$2,784.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,703.23	Professional		$2,784.38	$2,784.38	$3,703.23