Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.68 / $1,451.80 / $7,875.07	Facility		$1,398.68	$1,451.80	$7,875.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.33 / $1,451.80 / $1,770.48	Professional		$1,239.33	$1,451.80	$1,770.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $33.20 / $33.20	Facility		$33.20	$33.20	$33.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $33.20 / $33.20	Professional		$28.22	$33.20	$33.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,124.58 / $23,237.55 / $47,249.53	Facility		$2,124.58	$23,237.55	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,036.05 / $2,478.67 / $32,836.86	Professional		$2,036.05	$2,478.67	$32,836.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.81 / $1,377.61 / $2,336.14	Facility		$1,150.81	$1,377.61	$2,336.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.86 / $2,258.23 / $8,533.70	Professional		$1,327.86	$2,258.23	$8,533.70
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $1,062.29 / $1,770.48	Professional		$743.60	$1,062.29	$1,770.48