Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.35 / $1,441.35 / $3,028.63	Facility		$1,441.35	$1,441.35	$3,028.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.48 / $1,441.35 / $1,499.00	Professional		$1,289.48	$1,441.35	$1,499.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,392.62 / $2,710.62 / $3,028.63	Facility		$2,392.62	$2,710.62	$3,028.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.58 / $1,556.88 / $2,148.48	Professional		$1,428.58	$1,556.88	$2,148.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,214.50 / $3,256.61 / $4,240.08	Facility		$2,214.50	$3,256.61	$4,240.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,574.34 / $3,331.49 / $4,088.65	Professional		$2,574.34	$3,331.49	$4,088.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $3,028.63	Facility		$1,486.28	$1,486.28	$3,028.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $2,651.98	Professional		$1,084.98	$1,486.28	$2,651.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $791.10 / $1,510.95 / $2,023.65	Professional		$791.10	$1,510.95	$2,023.65