Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.16 / $1,552.72 / $4,982.22	Facility		$1,107.16	$1,552.72	$4,982.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $1,107.16 / $1,282.68	Professional		$810.11	$1,107.16	$1,282.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.65 / $1,208.42 / $4,050.57	Facility		$1,066.65	$1,208.42	$4,050.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $540.08 / $800.00	Professional		$100.00	$540.08	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $1,620.23 / $1,890.27	Facility		$1,350.19	$1,620.23	$1,890.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,552.72 / $1,957.78	Professional		$1,350.19	$1,552.72	$1,957.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.62 / $1,350.19 / $3,140.84	Facility		$877.62	$1,350.19	$3,140.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.91 / $1,551.64 / $1,939.55	Professional		$712.91	$1,551.64	$1,939.55
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $810.11 / $1,350.19	Professional		$567.08	$810.11	$1,350.19