Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.37 / $1,824.37 / $3,833.45	Facility		$1,824.37	$1,824.37	$3,833.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,537.83 / $1,824.37 / $1,897.34	Professional		$1,537.83	$1,824.37	$1,897.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.43 / $3,430.94 / $3,833.45	Facility		$3,028.43	$3,430.94	$3,833.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,866.13 / $1,898.20 / $2,583.48	Professional		$1,866.13	$1,898.20	$2,583.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,641.02 / $4,025.12 / $5,366.83	Facility		$2,641.02	$4,025.12	$5,366.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,258.43 / $4,216.80 / $5,175.16	Professional		$3,258.43	$4,216.80	$5,175.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $3,833.45	Facility		$2,479.82	$2,479.82	$3,833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $3,915.68	Professional		$1,810.27	$2,479.82	$3,915.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.39 / $1,912.47 / $2,709.33	Professional		$1,033.39	$1,912.47	$2,709.33