Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.50 / $1,442.50 / $3,031.05	Facility		$1,442.50	$1,442.50	$3,031.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.10 / $1,442.50 / $1,500.20	Professional		$1,312.10	$1,442.50	$1,500.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,394.53 / $2,712.79 / $3,031.05	Facility		$2,394.53	$2,712.79	$3,031.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,475.48 / $1,500.84 / $2,071.15	Professional		$1,475.48	$1,500.84	$2,071.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,273.29 / $3,334.16 / $4,273.22	Facility		$2,273.29	$3,334.16	$4,273.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,576.39 / $3,334.16 / $4,091.92	Professional		$2,576.39	$3,334.16	$4,091.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $3,031.05	Facility		$1,960.76	$1,960.76	$3,031.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,960.76 / $2,740.03	Professional		$1,431.35	$1,960.76	$2,740.03
United Facility/Professional Professional Modifier Low / Median / High Price $817.07 / $1,512.16 / $2,025.26	Professional		$817.07	$1,512.16	$2,025.26