Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.43 / $1,943.21 / $8,643.41	Facility		$1,593.43	$1,943.21	$8,643.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.25 / $1,554.57 / $1,943.21	Professional		$1,360.25	$1,554.57	$1,943.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,148.40	Facility		$1,148.40	$1,148.40	$1,148.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,148.40 / $1,148.40	Professional		$976.14	$1,148.40	$1,148.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,331.85 / $25,504.63 / $48,968.89	Facility		$2,331.85	$25,504.63	$48,968.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,234.69 / $2,720.49 / $36,040.87	Professional		$2,234.69	$2,720.49	$36,040.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.08 / $1,512.01 / $2,564.07	Facility		$1,263.08	$1,512.01	$2,564.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,255.00 / $9,366.27 / $9,366.27	Professional		$2,255.00	$9,366.27	$9,366.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.93 / $1,165.93 / $2,137.53	Professional		$1,165.93	$1,165.93	$2,137.53