Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,918.60 / $1,918.60 / $3,876.39	Facility		$1,918.60	$1,918.60	$3,876.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.81 / $1,918.60 / $2,082.05	Professional		$1,844.81	$1,918.60	$2,082.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,062.35 / $3,469.37 / $3,876.39	Facility		$3,062.35	$3,469.37	$3,876.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,891.00 / $2,151.62 / $2,937.41	Professional		$1,891.00	$2,151.62	$2,937.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,907.29 / $4,264.03 / $5,426.95	Facility		$2,907.29	$4,264.03	$5,426.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,294.93 / $4,264.03 / $5,233.13	Professional		$3,294.93	$4,264.03	$5,233.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $3,876.39	Facility		$2,507.59	$2,507.59	$3,876.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $3,976.43	Professional		$1,830.54	$2,507.59	$3,976.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.96 / $1,853.17 / $2,655.47	Professional		$1,174.96	$1,853.17	$2,655.47