Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.61 / $1,826.61 / $3,838.15	Facility		$1,826.61	$1,826.61	$3,838.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,638.55 / $1,847.62 / $1,899.67	Professional		$1,638.55	$1,847.62	$1,899.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,032.14 / $3,435.14 / $3,838.15	Facility		$3,032.14	$3,435.14	$3,838.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,922.93 / $1,988.34 / $2,743.90	Professional		$1,922.93	$1,988.34	$2,743.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,813.98 / $4,138.21 / $5,373.41	Facility		$2,813.98	$4,138.21	$5,373.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,262.43 / $4,221.97 / $5,181.50	Professional		$3,262.43	$4,221.97	$5,181.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $3,838.15	Facility		$2,482.86	$2,482.86	$3,838.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $3,937.20	Professional		$1,812.49	$2,482.86	$3,937.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.50 / $2,488.46 / $2,619.44	Facility		$2,182.50	$2,488.46	$2,619.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.07 / $1,914.82 / $2,564.54	Professional		$1,101.07	$1,914.82	$2,564.54