Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.21 / $2,043.21 / $4,293.29	Facility		$2,043.21	$2,043.21	$4,293.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,841.56 / $2,057.78 / $2,124.94	Professional		$1,841.56	$2,057.78	$2,124.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,391.70 / $3,842.49 / $4,293.29	Facility		$3,391.70	$3,842.49	$4,293.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,150.96 / $2,260.71 / $3,119.77	Professional		$2,150.96	$2,260.71	$3,119.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,162.65 / $4,650.95 / $6,010.61	Facility		$3,162.65	$4,650.95	$6,010.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,649.30 / $4,722.62 / $5,795.94	Professional		$3,649.30	$4,722.62	$5,795.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $4,293.29	Facility		$2,717.61	$2,717.61	$4,293.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $2,717.61 / $4,404.09	Professional		$1,983.86	$2,717.61	$4,404.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.74 / $2,141.88 / $2,868.68	Professional		$1,230.74	$2,141.88	$2,868.68