Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $2,187.76	Professional		$1,348.96	$1,479.11	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $3,801.89	Facility		$1,621.81	$3,019.95	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,951.21	Professional		$1,621.81	$1,621.81	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $4,265.80	Facility		$1,479.11	$2,951.21	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,019.95	Facility		$2,398.83	$2,398.83	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,454.71	Professional		$1,995.26	$1,995.26	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,905.46 / $2,398.83	Facility		$707.95	$1,905.46	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,041.74	Professional		$891.25	$1,479.11	$2,041.74