Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,691.53	Professional		$1,479.11	$1,819.70	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,890.45 / $4,897.79	Facility		$1,905.46	$3,890.45	$4,897.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $3,388.44	Professional		$1,862.09	$1,905.46	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $4,677.35	Facility		$3,090.30	$3,890.45	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,388.44	Professional		$1,819.70	$1,819.70	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,090.30	Facility		$2,041.74	$2,398.83	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $2,570.40	Professional		$1,023.29	$1,905.46	$2,570.40