Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $3,000.82	Facility		$1,428.12	$1,428.12	$3,000.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.47 / $1,428.12 / $1,485.24	Professional		$1,128.47	$1,428.12	$1,485.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,370.65 / $2,685.73 / $3,000.82	Facility		$2,370.65	$2,685.73	$3,000.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $1,369.38 / $1,889.74	Professional		$1,369.38	$1,369.38	$1,889.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,950.53 / $3,150.86 / $4,201.14	Facility		$1,950.53	$3,150.86	$4,201.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,550.69 / $3,300.90 / $4,051.11	Professional		$2,550.69	$3,300.90	$4,051.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $3,000.82	Facility		$1,424.68	$1,424.68	$3,000.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $3,078.27	Professional		$1,040.02	$1,040.02	$3,078.27
United Facility/Professional Professional Modifier Low / Median / High Price $758.31 / $1,497.08 / $2,005.07	Professional		$758.31	$1,497.08	$2,005.07