Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.19 / $1,658.19 / $3,484.26	Facility		$1,658.19	$1,658.19	$3,484.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.52 / $1,658.19 / $1,724.51	Professional		$1,441.52	$1,658.19	$1,724.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,752.57 / $3,118.41 / $3,484.26	Facility		$2,752.57	$3,118.41	$3,484.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.63 / $1,760.19 / $2,421.67	Professional		$1,745.63	$1,760.19	$2,421.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,475.61 / $3,658.47 / $4,877.96	Facility		$2,475.61	$3,658.47	$4,877.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,961.62 / $3,832.69 / $4,703.75	Professional		$2,961.62	$3,832.69	$4,703.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,484.26	Facility		$1,819.89	$1,819.89	$3,484.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $3,439.00	Professional		$1,328.52	$1,819.89	$3,439.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $968.67 / $1,738.26 / $2,304.46	Professional		$968.67	$1,738.26	$2,304.46