Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.35 / $1,563.35 / $3,284.97	Facility		$1,563.35	$1,563.35	$3,284.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.44 / $1,563.35 / $1,625.88	Professional		$1,378.44	$1,563.35	$1,625.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.13 / $2,940.05 / $3,284.97	Facility		$2,595.13	$2,940.05	$3,284.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,645.79 / $1,693.61 / $2,337.17	Professional		$1,645.79	$1,693.61	$2,337.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,367.28 / $3,481.30 / $4,598.96	Facility		$2,367.28	$3,481.30	$4,598.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,792.22 / $3,613.47 / $4,434.71	Professional		$2,792.22	$3,613.47	$4,434.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,284.97	Facility		$2,125.02	$2,125.02	$3,284.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,125.02 / $3,321.18	Professional		$1,551.26	$2,125.02	$3,321.18
United Facility/Professional Professional Modifier Low / Median / High Price $926.28 / $1,638.84 / $2,194.94	Professional		$926.28	$1,638.84	$2,194.94