Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.66 / $1,157.66 / $2,432.52	Facility		$1,157.66	$1,157.66	$2,432.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.40 / $1,157.66 / $1,203.96	Professional		$991.40	$1,157.66	$1,203.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.69 / $2,177.11 / $2,432.52	Facility		$1,921.69	$2,177.11	$2,432.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.74 / $1,114.58 / $1,538.12	Professional		$1,095.74	$1,114.58	$1,538.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,702.60 / $2,554.15 / $3,405.53	Facility		$1,702.60	$2,554.15	$3,405.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,067.64 / $2,675.77 / $3,283.90	Professional		$2,067.64	$2,675.77	$3,283.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $2,432.52	Facility		$1,573.58	$1,573.58	$2,432.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $2,407.75	Professional		$1,148.71	$1,573.58	$2,407.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $606.78 / $1,213.55 / $1,625.34	Professional		$606.78	$1,213.55	$1,625.34