Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.17 / $1,187.17 / $2,398.60	Facility		$1,187.17	$1,187.17	$2,398.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.67 / $1,232.83 / $1,301.32	Professional		$1,151.67	$1,232.83	$1,301.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.89 / $2,146.75 / $2,398.60	Facility		$1,894.89	$2,146.75	$2,398.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,387.19 / $1,914.32	Professional		$1,170.00	$1,387.19	$1,914.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,956.11 / $2,638.46 / $3,597.90	Facility		$1,956.11	$2,638.46	$3,597.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,038.81 / $2,638.46 / $3,238.11	Professional		$2,038.81	$2,638.46	$3,238.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $2,398.60	Facility		$1,703.99	$1,703.99	$2,398.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $2,460.48	Professional		$1,243.91	$1,703.99	$2,460.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $757.52 / $1,143.28 / $1,693.23	Professional		$757.52	$1,143.28	$1,693.23