Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.53 / $1,561.53 / $3,281.15	Facility		$1,561.53	$1,561.53	$3,281.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.15 / $1,561.53 / $1,623.99	Professional		$1,399.15	$1,561.53	$1,623.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.11 / $2,936.63 / $3,281.15	Facility		$2,592.11	$2,936.63	$3,281.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,609.35 / $1,619.41 / $2,234.78	Professional		$1,609.35	$1,619.41	$2,234.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,402.87 / $3,533.63 / $4,593.60	Facility		$2,402.87	$3,533.63	$4,593.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,788.98 / $3,609.27 / $4,429.55	Professional		$2,788.98	$3,609.27	$4,429.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,281.15	Facility		$2,283.76	$2,283.76	$3,281.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $3,365.83	Professional		$1,667.14	$2,283.76	$3,365.83
United Facility/Professional Professional Modifier Low / Median / High Price $891.20 / $1,636.93 / $2,192.38	Professional		$891.20	$1,636.93	$2,192.38