Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,862.09	Professional		$1,122.02	$1,258.93	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $3,090.30	Facility		$1,348.96	$2,511.89	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,398.83	Professional		$1,348.96	$1,348.96	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,467.37	Facility		$2,290.87	$2,884.03	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Facility		$1,513.56	$1,513.56	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,137.96	Professional		$1,096.48	$1,096.48	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $1,949.84	Facility		$870.96	$1,621.81	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,737.80	Professional		$758.58	$1,174.90	$1,737.80