Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.49 / $1,747.49 / $3,671.91	Facility		$1,747.49	$1,747.49	$3,671.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,674.74 / $1,782.44 / $1,881.64	Professional		$1,674.74	$1,782.44	$1,881.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,900.81 / $3,286.36 / $3,671.91	Facility		$2,900.81	$3,286.36	$3,671.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,839.65 / $2,067.19 / $2,813.48	Professional		$1,839.65	$2,067.19	$2,813.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,753.93 / $4,039.10 / $5,140.67	Facility		$2,753.93	$4,039.10	$5,140.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,121.12 / $4,039.10 / $4,957.08	Professional		$3,121.12	$4,039.10	$4,957.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $3,671.91	Facility		$2,375.33	$2,375.33	$3,671.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $2,375.33 / $3,766.67	Professional		$1,733.99	$2,375.33	$3,766.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,413.91 / $5,413.91 / $5,413.91	Facility		$5,413.91	$5,413.91	$5,413.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.39 / $1,831.87 / $2,595.15	Professional		$1,125.39	$1,831.87	$2,595.15