Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $4,073.80	Facility		$1,659.59	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Professional		$1,659.59	$1,659.59	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,801.89	Facility		$1,659.59	$2,570.40	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,819.70	Professional		$933.25	$1,148.15	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $2,570.40	Facility		$1,348.96	$2,454.71	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,621.81	Facility		$794.33	$794.33	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,041.74	Professional		$1,698.24	$1,698.24	$2,041.74