Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.93 / $1,159.93 / $2,437.29	Facility		$1,159.93	$1,159.93	$2,437.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.25 / $1,159.93 / $1,206.32	Professional		$965.25	$1,159.93	$1,206.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,925.46 / $2,181.37 / $2,437.29	Facility		$1,925.46	$2,181.37	$2,437.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.83 / $1,146.20 / $1,581.75	Professional		$1,126.83	$1,146.20	$1,581.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,704.77 / $2,559.15 / $3,412.21	Facility		$1,704.77	$2,559.15	$3,412.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,071.69 / $2,681.02 / $3,290.34	Professional		$2,071.69	$2,681.02	$3,290.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $2,437.29	Facility		$1,576.65	$1,576.65	$2,437.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $2,220.73	Professional		$1,150.95	$1,576.65	$2,220.73
United Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $1,215.94 / $1,628.52	Professional		$624.00	$1,215.94	$1,628.52