Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,162.28	Professional		$2,951.21	$2,951.21	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $380.19 / $512.86	Facility		$141.25	$380.19	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,570.88	Professional		$2,511.89	$2,951.21	$4,570.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $6,025.60	Facility		$2,951.21	$4,466.84	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,398.83 / $2,818.38	Professional		$125.89	$2,398.83	$2,818.38