Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,513.56	Professional		$870.96	$1,148.15	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $3,090.30	Facility		$1,148.15	$2,511.89	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $2,041.74	Professional		$1,122.02	$1,148.15	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,019.95	Facility		$1,995.26	$2,511.89	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $2,511.89	Facility		$1,548.82	$1,584.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,137.96	Professional		$1,148.15	$1,148.15	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,949.84	Facility		$1,230.27	$1,445.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $1,621.81	Professional		$630.96	$1,202.26	$1,621.81