Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.76 / $1,029.76 / $2,163.77	Facility		$1,029.76	$1,029.76	$2,163.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.76 / $1,050.34 / $1,076.77	Professional		$1,029.76	$1,050.34	$1,076.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,709.38 / $1,936.57 / $2,163.77	Facility		$1,709.38	$1,936.57	$2,163.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.06 / $1,300.05 / $1,755.06	Professional		$1,084.06	$1,300.05	$1,755.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,631.66 / $2,380.15 / $3,245.66	Facility		$1,631.66	$2,380.15	$3,245.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,839.20 / $2,380.15 / $2,921.09	Professional		$1,839.20	$2,380.15	$2,921.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $2,163.77	Facility		$1,207.83	$1,207.83	$2,163.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $2,219.61	Professional		$881.72	$1,207.83	$2,219.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $642.89 / $1,079.48 / $1,486.00	Professional		$642.89	$1,079.48	$1,486.00