Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.58 / $2,496.26 / $4,745.60	Facility		$1,054.58	$2,496.26	$4,745.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,055.59 / $1,055.59	Professional		$1,045.15	$1,055.59	$1,055.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $2,090.30 / $2,769.65	Facility		$1,045.15	$2,090.30	$2,769.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.37 / $1,045.15 / $1,484.11	Professional		$888.37	$1,045.15	$1,484.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,149.67 / $1,567.73	Facility		$1,045.15	$1,149.67	$1,567.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,149.67 / $1,149.67 / $1,149.67	Professional		$1,149.67	$1,149.67	$1,149.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Facility		$1,045.15	$1,045.15	$1,045.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.00 / $1,045.15 / $2,860.30	Professional		$987.00	$1,045.15	$2,860.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,721.86 / $2,087.10 / $2,087.10	Facility		$1,721.86	$2,087.10	$2,087.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,306.96	Professional		$1,045.15	$1,045.15	$1,306.96