Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,729.06 / $3,729.06 / $3,812.52	Facility		$3,729.06	$3,729.06	$3,812.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,802.91	Professional		$3,692.14	$3,692.14	$3,802.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $7,125.83	Facility		$3,692.14	$3,692.14	$7,125.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,242.83	Professional		$3,692.14	$3,692.14	$5,242.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,538.21	Facility		$3,692.14	$3,692.14	$5,538.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,245.96	Professional		$3,692.14	$3,692.14	$4,245.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,954.28	Professional		$3,692.14	$3,692.14	$3,954.28