Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.55 / $1,054.26 / $4,628.47	Facility		$1,028.55	$1,054.26	$4,628.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,028.55 / $1,092.83	Professional		$1,028.55	$1,028.55	$1,092.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.69 / $2,142.82 / $2,839.24	Facility		$1,135.69	$2,142.82	$2,839.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,135.69 / $1,567.25	Professional		$1,071.41	$1,135.69	$1,567.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.99 / $398.81 / $606.03	Facility		$390.99	$398.81	$606.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.99 / $390.99 / $586.49	Professional		$390.99	$390.99	$586.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,226.69	Professional		$1,092.83	$1,092.83	$1,226.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,135.69 / $1,240.89	Professional		$1,071.41	$1,135.69	$1,240.89