Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.85 / $1,399.85 / $2,941.43	Facility		$1,399.85	$1,399.85	$2,941.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,436.25 / $1,635.70	Professional		$1,399.85	$1,436.25	$1,635.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,323.73 / $2,632.58 / $2,941.43	Facility		$2,323.73	$2,632.58	$2,941.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.67 / $1,788.71 / $2,468.41	Professional		$1,473.67	$1,788.71	$2,468.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,267.58 / $3,235.57 / $4,412.14	Facility		$2,267.58	$3,235.57	$4,412.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,500.21 / $3,235.57 / $3,970.93	Professional		$2,500.21	$3,235.57	$3,970.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $2,941.43	Facility		$1,902.78	$1,902.78	$2,941.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,902.78 / $3,017.34	Professional		$1,389.03	$1,902.78	$3,017.34
United Facility/Professional Professional Modifier Low / Median / High Price $978.30 / $1,467.45 / $2,210.98	Professional		$978.30	$1,467.45	$2,210.98