Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.95 / $1,444.95 / $3,036.20	Facility		$1,444.95	$1,444.95	$3,036.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.92 / $1,444.95 / $1,502.75	Professional		$1,229.92	$1,444.95	$1,502.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.60 / $2,717.40 / $3,036.20	Facility		$2,398.60	$2,717.40	$3,036.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,492.48 / $1,518.14 / $2,095.03	Professional		$1,492.48	$1,518.14	$2,095.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,112.21 / $3,188.01 / $4,250.68	Facility		$2,112.21	$3,188.01	$4,250.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,580.77 / $3,339.82 / $4,098.87	Professional		$2,580.77	$3,339.82	$4,098.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $3,036.20	Facility		$1,552.76	$1,552.76	$3,036.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $3,114.55	Professional		$1,133.51	$1,133.51	$3,114.55
United Facility/Professional Professional Modifier Low / Median / High Price $826.48 / $1,514.72 / $2,028.70	Professional		$826.48	$1,514.72	$2,028.70