Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.52 / $1,274.52 / $2,575.08	Facility		$1,274.52	$1,274.52	$2,575.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.40 / $1,274.52 / $1,383.10	Professional		$1,031.40	$1,274.52	$1,383.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,034.31 / $2,304.69 / $2,575.08	Facility		$2,034.31	$2,304.69	$2,575.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.95 / $1,176.26 / $1,608.93	Professional		$1,130.95	$1,176.26	$1,608.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,673.80 / $2,703.83 / $3,605.11	Facility		$1,673.80	$2,703.83	$3,605.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,188.82 / $2,832.59 / $3,476.36	Professional		$2,188.82	$2,832.59	$3,476.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $2,575.08	Facility		$1,206.80	$1,206.80	$2,575.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $2,254.83	Professional		$880.96	$1,206.80	$2,254.83
United Facility/Professional Professional Modifier Low / Median / High Price $642.34 / $1,227.40 / $1,720.59	Professional		$642.34	$1,227.40	$1,720.59