Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.58 / $1,105.58 / $2,233.75	Facility		$1,105.58	$1,105.58	$2,233.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.06 / $1,114.09 / $1,199.77	Professional		$1,063.06	$1,114.09	$1,199.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,764.66 / $1,999.21 / $2,233.75	Facility		$1,764.66	$1,999.21	$2,233.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.70 / $1,258.95 / $1,737.35	Professional		$1,089.70	$1,258.95	$1,737.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,675.31 / $2,457.13 / $3,135.29	Facility		$1,675.31	$2,457.13	$3,135.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,898.69 / $2,457.13 / $3,015.56	Professional		$1,898.69	$2,457.13	$3,015.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,233.75	Facility		$1,306.07	$1,306.07	$2,233.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $2,291.40	Professional		$953.43	$1,306.07	$2,291.40
United Facility/Professional Professional Modifier Low / Median / High Price $695.18 / $1,064.71 / $1,569.22	Professional		$695.18	$1,064.71	$1,569.22