Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,818.38	Professional		$1,584.89	$1,949.84	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,168.69 / $5,248.07	Facility		$2,041.74	$4,168.69	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $3,630.78	Professional		$1,995.26	$2,041.74	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $5,011.87	Facility		$3,311.31	$4,168.69	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,168.69	Facility		$1,905.46	$2,630.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,548.13	Professional		$1,905.46	$1,905.46	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,235.94	Facility		$2,187.76	$2,570.40	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $2,754.23	Professional		$1,096.48	$1,995.26	$2,754.23