Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.72 / $1,102.72 / $2,317.09	Facility		$1,102.72	$1,102.72	$2,317.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.94 / $1,102.72 / $1,146.83	Professional		$979.94	$1,102.72	$1,146.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.50 / $2,073.80 / $2,317.09	Facility		$1,830.50	$2,073.80	$2,317.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.39 / $1,076.58 / $1,485.68	Professional		$1,058.39	$1,076.58	$1,485.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.82 / $2,548.80 / $3,243.93	Facility		$1,737.82	$2,548.80	$3,243.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,969.53 / $2,548.80 / $3,128.07	Professional		$1,969.53	$2,548.80	$3,128.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,317.09	Facility		$1,498.90	$1,498.90	$2,317.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $2,071.33	Professional		$1,094.20	$1,498.90	$2,071.33
United Facility/Professional Professional Modifier Low / Median / High Price $586.10 / $1,155.97 / $1,548.22	Professional		$586.10	$1,155.97	$1,548.22