Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.20 / $1,092.20 / $1,092.20	Facility		$1,092.20	$1,092.20	$1,092.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.34 / $1,008.18 / $1,243.42	Professional		$788.34	$1,008.18	$1,243.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,284.27 / $1,284.27 / $2,478.64	Facility		$1,284.27	$1,284.27	$2,478.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.41 / $1,284.27 / $2,030.00	Professional		$1,027.41	$1,284.27	$2,030.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.61 / $238.33 / $2,912.91	Facility		$133.61	$238.33	$2,912.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $238.33 / $2,979.11	Professional		$176.54	$238.33	$2,979.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $109.54 / $145.93	Professional		$93.11	$109.54	$145.93
United Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $88.07 / $873.39	Professional		$49.91	$88.07	$873.39