Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.51 / $1,070.51 / $2,162.89	Facility		$1,070.51	$1,070.51	$2,162.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.33 / $1,070.51 / $1,161.71	Professional		$1,029.33	$1,070.51	$1,161.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,708.68 / $1,935.79 / $2,162.89	Facility		$1,708.68	$1,935.79	$2,162.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.13 / $1,133.98 / $1,564.89	Professional		$1,055.13	$1,133.98	$1,564.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,622.17 / $2,379.17 / $3,028.05	Facility		$1,622.17	$2,379.17	$3,028.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,838.46 / $2,379.17 / $2,919.90	Professional		$1,838.46	$2,379.17	$2,919.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $2,162.89	Facility		$1,399.15	$1,399.15	$2,162.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $2,218.69	Professional		$1,021.38	$1,399.15	$2,218.69
United Facility/Professional Professional Modifier Low / Median / High Price $644.04 / $1,046.58 / $1,462.89	Professional		$644.04	$1,046.58	$1,462.89