Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.28 / $1,141.28 / $2,398.11	Facility		$1,141.28	$1,141.28	$2,398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.95 / $1,141.28 / $1,186.93	Professional		$933.95	$1,141.28	$1,186.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.51 / $2,146.31 / $2,398.11	Facility		$1,894.51	$2,146.31	$2,398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.94 / $1,157.24 / $1,596.99	Professional		$1,143.94	$1,157.24	$1,596.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,618.94 / $2,518.02 / $3,357.35	Facility		$1,618.94	$2,518.02	$3,357.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,038.39 / $2,637.92 / $3,237.45	Professional		$2,038.39	$2,637.92	$3,237.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,398.11	Facility		$1,551.30	$1,551.30	$2,398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $2,459.98	Professional		$1,132.45	$1,551.30	$2,459.98
United Facility/Professional Professional Modifier Low / Median / High Price $633.47 / $1,196.38 / $1,602.34	Professional		$633.47	$1,196.38	$1,602.34