Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.45 / $1,439.10 / $7,806.24	Facility		$1,386.45	$1,439.10	$7,806.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,404.00 / $1,755.00	Professional		$1,228.50	$1,404.00	$1,755.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $423.14 / $423.14	Facility		$423.14	$423.14	$423.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.66 / $423.14 / $423.14	Professional		$359.66	$423.14	$423.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $23,034.38 / $47,249.53	Facility		$2,106.00	$23,034.38	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,018.25 / $2,457.00 / $32,554.93	Professional		$2,018.25	$2,457.00	$32,554.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.75 / $1,365.57 / $2,315.71	Facility		$1,140.75	$1,365.57	$2,315.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $2,238.51 / $8,459.10	Professional		$1,316.25	$2,238.51	$8,459.10
United Facility/Professional Professional Modifier Low / Median / High Price $759.92 / $1,053.00 / $1,755.00	Professional		$759.92	$1,053.00	$1,755.00