Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.27 / $1,042.27 / $2,190.07	Facility		$1,042.27	$1,042.27	$2,190.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.27 / $1,063.11 / $1,089.86	Professional		$1,042.27	$1,063.11	$1,089.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,730.16 / $1,960.11 / $2,190.07	Facility		$1,730.16	$1,960.11	$2,190.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.40 / $1,315.88 / $1,815.91	Professional		$1,068.40	$1,315.88	$1,815.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,651.50 / $2,409.08 / $3,285.11	Facility		$1,651.50	$2,409.08	$3,285.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,861.56 / $2,409.08 / $2,956.59	Professional		$1,861.56	$2,409.08	$2,956.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $2,190.07	Facility		$1,222.54	$1,222.54	$2,190.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $2,246.59	Professional		$892.45	$892.45	$2,246.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,130.40 / $3,130.40 / $3,130.40	Facility		$3,130.40	$3,130.40	$3,130.40
United Facility/Professional Professional Modifier Low / Median / High Price $650.72 / $1,092.59 / $1,504.11	Professional		$650.72	$1,092.59	$1,504.11