Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.92 / $1,848.92 / $3,885.03	Facility		$1,848.92	$1,848.92	$3,885.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.04 / $1,848.92 / $1,922.87	Professional		$1,698.04	$1,848.92	$1,922.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,069.17 / $3,477.10 / $3,885.03	Facility		$3,069.17	$3,477.10	$3,885.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,935.78 / $1,947.88 / $2,688.07	Professional		$1,935.78	$1,947.88	$2,688.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,913.77 / $4,273.53 / $5,439.04	Facility		$2,913.77	$4,273.53	$5,439.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,302.28 / $4,273.53 / $5,244.79	Professional		$3,302.28	$4,273.53	$5,244.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $3,885.03	Facility		$2,561.34	$2,561.34	$3,885.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $3,985.29	Professional		$1,869.78	$2,561.34	$3,985.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.97 / $1,938.20 / $2,569.27	Professional		$1,071.97	$1,938.20	$2,569.27