Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.04 / $1,812.04 / $3,807.55	Facility		$1,812.04	$1,812.04	$3,807.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.04 / $1,859.16 / $1,894.73	Professional		$1,812.04	$1,859.16	$1,894.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,007.96 / $3,407.76 / $3,807.55	Facility		$3,007.96	$3,407.76	$3,807.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,907.60 / $2,068.50 / $2,854.53	Professional		$1,907.60	$2,068.50	$2,854.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,871.14 / $4,188.31 / $5,711.33	Facility		$2,871.14	$4,188.31	$5,711.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,236.42 / $4,188.31 / $5,140.18	Professional		$3,236.42	$4,188.31	$5,140.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $3,807.55	Facility		$2,463.07	$2,463.07	$3,807.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $3,905.80	Professional		$1,798.04	$2,463.07	$3,905.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.27 / $1,899.55 / $2,667.02	Professional		$1,131.27	$1,899.55	$2,667.02