Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.82 / $1,191.82 / $2,504.29	Facility		$1,191.82	$1,191.82	$2,504.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.20 / $1,215.65 / $1,239.49	Professional		$1,055.20	$1,215.65	$1,239.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,978.39 / $2,241.34 / $2,504.29	Facility		$1,978.39	$2,241.34	$2,504.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.83 / $1,275.38 / $1,760.02	Professional		$1,253.83	$1,275.38	$1,760.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,812.17 / $2,664.95 / $3,506.01	Facility		$1,812.17	$2,664.95	$3,506.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,128.65 / $2,754.72 / $3,380.79	Professional		$2,128.65	$2,754.72	$3,380.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,504.29	Facility		$1,620.00	$1,620.00	$2,504.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $2,568.92	Professional		$1,182.59	$1,620.00	$2,568.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.15 / $3,340.15 / $3,340.15	Facility		$3,340.15	$3,340.15	$3,340.15
United Facility/Professional Professional Modifier Low / Median / High Price $694.32 / $1,249.36 / $1,656.16	Professional		$694.32	$1,249.36	$1,656.16