Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.73 / $1,011.73 / $2,125.90	Facility		$1,011.73	$1,011.73	$2,125.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.86 / $1,011.73 / $1,052.20	Professional		$864.86	$1,011.73	$1,052.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,679.46 / $1,902.68 / $2,125.90	Facility		$1,679.46	$1,902.68	$2,125.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.50 / $1,062.60 / $1,466.40	Professional		$1,049.50	$1,062.60	$1,466.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,485.29 / $2,232.19 / $2,976.26	Facility		$1,485.29	$2,232.19	$2,976.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,807.02 / $2,338.48 / $2,869.97	Professional		$1,807.02	$2,338.48	$2,869.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $2,125.90	Facility		$1,375.24	$1,375.24	$2,125.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $2,180.76	Professional		$1,003.93	$1,375.24	$2,180.76
United Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $1,060.58 / $1,405.92	Professional		$581.16	$1,060.58	$1,405.92