Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.07 / $2,058.37 / $11,165.40	Facility		$1,983.07	$2,058.37	$11,165.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.07 / $2,008.17 / $2,510.21	Professional		$1,983.07	$2,008.17	$2,510.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,239.60 / $2,259.19 / $2,638.23	Facility		$1,239.60	$2,259.19	$2,638.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.66 / $1,239.60 / $1,239.60	Professional		$1,053.66	$1,239.60	$1,239.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,012.25 / $3,514.29 / $4,141.85	Facility		$3,012.25	$3,514.29	$4,141.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,886.74 / $3,388.78 / $5,020.42	Professional		$2,886.74	$3,388.78	$5,020.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $1,953.19 / $3,868.00	Facility		$1,631.64	$1,953.19	$3,868.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.18 / $2,913.24 / $12,099.21	Professional		$1,156.18	$2,913.24	$12,099.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.58 / $1,859.41 / $3,099.02	Professional		$1,301.58	$1,859.41	$3,099.02