Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.23 / $1,574.23 / $3,307.84	Facility		$1,574.23	$1,574.23	$3,307.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.39 / $1,574.23 / $1,637.19	Professional		$1,426.39	$1,574.23	$1,637.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.19 / $2,960.52 / $3,307.84	Facility		$2,613.19	$2,960.52	$3,307.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.68 / $1,722.19 / $2,376.62	Professional		$1,613.68	$1,722.19	$2,376.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,449.64 / $3,602.41 / $4,630.97	Facility		$2,449.64	$3,602.41	$4,630.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,811.66 / $3,638.62 / $4,465.58	Professional		$2,811.66	$3,638.62	$4,465.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $3,307.84	Facility		$2,084.13	$2,084.13	$3,307.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $3,054.39	Professional		$1,521.41	$2,084.13	$3,054.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,815.91 / $2,070.48 / $2,179.46	Facility		$1,815.91	$2,070.48	$2,179.46
United Facility/Professional Professional Modifier Low / Median / High Price $916.13 / $1,650.25 / $2,210.21	Professional		$916.13	$1,650.25	$2,210.21