Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,930.67 / $3,009.35 / $3,009.35	Facility		$2,930.67	$3,009.35	$3,009.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,009.35	Professional		$2,979.56	$2,979.56	$3,009.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $5,750.53	Facility		$2,979.55	$2,979.55	$5,750.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $4,230.96	Professional		$2,979.55	$2,979.55	$4,230.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $4,469.34	Facility		$2,979.56	$2,979.56	$4,469.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,426.49	Professional		$2,979.56	$2,979.56	$3,426.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Facility		$2,979.55	$2,979.55	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,575.47	Professional		$2,979.56	$2,979.56	$3,575.47