Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.68 / $1,781.68 / $3,743.74	Facility		$1,781.68	$1,781.68	$3,743.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.68 / $1,828.00 / $1,862.99	Professional		$1,781.68	$1,828.00	$1,862.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,957.55 / $3,350.65 / $3,743.74	Facility		$2,957.55	$3,350.65	$3,743.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.63 / $2,249.31 / $3,036.56	Professional		$1,875.63	$2,249.31	$3,036.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,823.04 / $4,118.10 / $5,615.61	Facility		$2,823.04	$4,118.10	$5,615.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,182.18 / $4,118.10 / $5,054.05	Professional		$3,182.18	$4,118.10	$5,054.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $3,743.74	Facility		$2,264.80	$2,264.80	$3,743.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $3,840.36	Professional		$1,653.30	$2,264.80	$3,840.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.32 / $1,867.71 / $2,571.06	Professional		$1,112.32	$1,867.71	$2,571.06