Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.89 / $1,831.89 / $3,701.21	Facility		$1,831.89	$1,831.89	$3,701.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.44 / $1,831.89 / $2,008.04	Professional		$1,761.44	$1,831.89	$2,008.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,923.96 / $3,312.58 / $3,701.21	Facility		$2,923.96	$3,312.58	$3,701.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,805.58 / $1,966.25 / $2,713.42	Professional		$1,805.58	$1,966.25	$2,713.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,948.39 / $4,071.33 / $5,551.82	Facility		$2,948.39	$4,071.33	$5,551.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,146.03 / $4,071.33 / $4,996.63	Professional		$3,146.03	$4,071.33	$4,996.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $3,701.21	Facility		$2,017.28	$2,017.28	$3,701.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $3,551.23	Professional		$1,472.61	$2,017.28	$3,551.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.74 / $1,764.17 / $2,473.06	Professional		$1,073.74	$1,764.17	$2,473.06