Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.11 / $1,314.11 / $2,761.27	Facility		$1,314.11	$1,314.11	$2,761.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.11 / $1,348.28 / $1,374.06	Professional		$1,314.11	$1,348.28	$1,374.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,181.40 / $2,471.34 / $2,761.27	Facility		$2,181.40	$2,471.34	$2,761.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.41 / $1,487.71 / $2,008.40	Professional		$1,383.41	$1,487.71	$2,008.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,082.14 / $3,037.40 / $4,141.91	Facility		$2,082.14	$3,037.40	$4,141.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,347.08 / $3,037.40 / $3,727.71	Professional		$2,347.08	$3,037.40	$3,727.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $2,761.27	Facility		$1,786.24	$1,786.24	$2,761.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,786.24 / $2,832.54	Professional		$1,303.96	$1,786.24	$2,832.54
United Facility/Professional Professional Modifier Low / Median / High Price $820.41 / $1,377.57 / $1,896.34	Professional		$820.41	$1,377.57	$1,896.34