Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $2,720.56 / $6,435.18	Facility		$1,169.80	$2,720.56	$6,435.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.80 / $2,720.56 / $5,755.03	Professional		$1,169.80	$2,720.56	$5,755.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.83 / $5,231.85 / $6,351.77	Facility		$288.83	$5,231.85	$6,351.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $288.83 / $389.93	Professional		$245.51	$288.83	$389.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $2,267.14 / $3,400.70	Facility		$1,743.95	$2,267.14	$3,400.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $2,092.73 / $2,615.92	Professional		$1,743.95	$2,092.73	$2,615.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.57 / $1,169.80 / $3,887.07	Facility		$1,133.57	$1,169.80	$3,887.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.27 / $2,003.88 / $2,544.92	Professional		$381.27	$2,003.88	$2,544.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $1,169.80 / $1,169.80	Facility		$1,169.80	$1,169.80	$1,169.80
United Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $701.88 / $1,285.60	Professional		$491.32	$701.88	$1,285.60