Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.72 / $1,147.72 / $2,411.64	Facility		$1,147.72	$1,147.72	$2,411.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.72 / $1,170.67 / $1,200.08	Professional		$1,147.72	$1,170.67	$1,200.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.20 / $2,158.42 / $2,411.64	Facility		$1,905.20	$2,158.42	$2,411.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.24 / $1,448.96 / $1,956.09	Professional		$1,208.24	$1,448.96	$1,956.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,818.53 / $2,652.80 / $3,617.46	Facility		$1,818.53	$2,652.80	$3,617.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,049.89 / $2,652.80 / $3,255.71	Professional		$2,049.89	$2,652.80	$3,255.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,411.64	Facility		$1,346.19	$1,346.19	$2,411.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $2,473.88	Professional		$982.72	$1,346.19	$2,473.88
United Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $1,203.14 / $1,656.24	Professional		$716.54	$1,203.14	$1,656.24