Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.65 / $3,499.97 / $6,999.93	Facility		$2,006.65	$3,499.97	$6,999.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.96 / $1,555.54 / $1,612.45	Professional		$1,289.96	$1,555.54	$1,612.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.20 / $5,691.00 / $10,298.81	Facility		$1,549.20	$5,691.00	$10,298.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.82 / $1,549.20 / $2,087.08	Professional		$1,316.82	$1,549.20	$2,087.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.00 / $2,466.10 / $3,035.20	Facility		$1,897.00	$2,466.10	$3,035.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $2,276.40 / $2,845.50	Professional		$1,897.00	$2,276.40	$2,845.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,233.05 / $3,585.56 / $7,397.61	Facility		$1,233.05	$3,585.56	$7,397.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.94 / $2,311.04 / $2,768.89	Professional		$2,044.94	$2,311.04	$2,768.89
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $1,138.20 / $2,084.80	Professional		$796.74	$1,138.20	$2,084.80