Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.24 / $1,209.24 / $2,443.17	Facility		$1,209.24	$1,209.24	$2,443.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.73 / $1,219.13 / $1,312.26	Professional		$1,162.73	$1,219.13	$1,312.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,930.11 / $2,186.65 / $2,443.17	Facility		$1,930.11	$2,186.65	$2,443.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.88 / $1,339.39 / $1,848.35	Professional		$1,191.88	$1,339.39	$1,848.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,832.39 / $2,687.50 / $3,430.85	Facility		$1,832.39	$2,687.50	$3,430.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,076.69 / $2,687.50 / $3,298.29	Professional		$2,076.69	$2,687.50	$3,298.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,443.17	Facility		$1,499.97	$1,499.97	$2,443.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $2,506.23	Professional		$1,094.98	$1,499.97	$2,506.23
United Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,180.84 / $1,717.16	Professional		$760.72	$1,180.84	$1,717.16