Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.83 / $1,406.83 / $2,956.10	Facility		$1,406.83	$1,406.83	$2,956.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.17 / $1,424.76 / $1,463.10	Professional		$1,252.17	$1,424.76	$1,463.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,335.32 / $2,645.71 / $2,956.10	Facility		$2,335.32	$2,645.71	$2,956.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,464.14 / $1,489.31 / $2,055.23	Professional		$1,464.14	$1,489.31	$2,055.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,150.44 / $3,162.41 / $4,138.54	Facility		$2,150.44	$3,162.41	$4,138.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,512.69 / $3,251.71 / $3,990.74	Professional		$2,512.69	$3,251.71	$3,990.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $2,956.10	Facility		$1,523.27	$1,523.27	$2,956.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $2,975.89	Professional		$1,111.99	$1,523.27	$2,975.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $810.79 / $1,474.76 / $1,975.18	Professional		$810.79	$1,474.76	$1,975.18