Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.27 / $1,351.27 / $2,839.36	Facility		$1,351.27	$1,351.27	$2,839.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.27 / $1,386.41 / $1,412.93	Professional		$1,351.27	$1,386.41	$1,412.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,243.09 / $2,541.23 / $2,839.36	Facility		$2,243.09	$2,541.23	$2,839.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.89 / $1,705.93 / $2,303.00	Professional		$1,294.89	$1,705.93	$2,303.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,141.05 / $3,123.30 / $4,259.04	Facility		$2,141.05	$3,123.30	$4,259.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,413.46 / $3,123.30 / $3,833.14	Professional		$2,413.46	$3,123.30	$3,833.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $2,839.36	Facility		$1,584.92	$1,584.92	$2,839.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $2,987.29	Professional		$1,156.99	$1,584.92	$2,987.29
United Facility/Professional Professional Modifier Low / Median / High Price $843.60 / $1,416.52 / $2,006.74	Professional		$843.60	$1,416.52	$2,006.74