Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.46 / $1,181.46 / $2,387.05	Facility		$1,181.46	$1,181.46	$2,387.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.72 / $1,181.46 / $1,282.10	Professional		$1,109.72	$1,181.46	$1,282.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,885.77 / $2,136.41 / $2,387.05	Facility		$1,885.77	$2,136.41	$2,387.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.48 / $1,226.58 / $1,692.69	Professional		$1,164.48	$1,226.58	$1,692.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,790.29 / $2,625.76 / $3,436.11	Facility		$1,790.29	$2,625.76	$3,436.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,028.99 / $2,625.76 / $3,222.52	Professional		$2,028.99	$2,625.76	$3,222.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $2,387.05	Facility		$1,544.16	$1,544.16	$2,387.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,544.16 / $2,215.35	Professional		$1,127.24	$1,544.16	$2,215.35
United Facility/Professional Professional Modifier Low / Median / High Price $669.82 / $1,120.97 / $1,548.27	Professional		$669.82	$1,120.97	$1,548.27