Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,445.44	Professional		$812.83	$1,096.48	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,344.23 / $2,884.03	Facility		$1,047.13	$2,344.23	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,905.46	Professional		$1,023.29	$1,047.13	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,754.23	Facility		$1,819.70	$2,290.87	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,344.23	Facility		$1,479.11	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Professional		$1,071.52	$1,071.52	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,819.70	Facility		$1,122.02	$1,318.26	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,513.56	Professional		$575.44	$1,122.02	$1,513.56