Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.59 / $4,663.34 / $8,983.44	Facility		$2,036.59	$4,663.34	$8,983.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,036.58 / $2,036.59	Professional		$2,016.42	$2,036.58	$2,036.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $4,032.84 / $5,343.51	Facility		$2,016.42	$4,032.84	$5,343.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,713.95 / $1,976.55 / $2,806.70	Professional		$1,713.95	$1,976.55	$2,806.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $3,024.63	Facility		$2,016.42	$2,016.42	$3,024.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,520.53	Professional		$2,016.42	$2,016.42	$2,520.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Facility		$2,016.42	$2,016.42	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.83 / $2,016.42 / $5,343.42	Professional		$1,825.83	$2,016.42	$5,343.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Facility		$2,016.42	$2,016.42	$2,016.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,693.53	Professional		$2,016.42	$2,016.42	$2,693.53