Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.38 / $1,225.38 / $2,574.83	Facility		$1,225.38	$1,225.38	$2,574.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.38 / $1,257.24 / $1,470.46	Professional		$1,225.38	$1,257.24	$1,470.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,034.12 / $2,304.46 / $2,574.83	Facility		$2,034.12	$2,304.46	$2,574.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.99 / $1,398.04 / $1,929.29	Professional		$1,289.99	$1,398.04	$1,929.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,188.61 / $2,832.31 / $3,862.25	Facility		$2,188.61	$2,832.31	$3,862.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,188.61 / $2,832.31 / $3,476.02	Professional		$2,188.61	$2,832.31	$3,476.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $2,574.83	Facility		$1,665.63	$1,665.63	$2,574.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $2,517.23	Professional		$1,215.91	$1,665.63	$2,517.23
United Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $1,284.55 / $1,759.25	Professional		$761.10	$1,284.55	$1,759.25