Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.79 / $1,928.79 / $4,052.87	Facility		$1,928.79	$1,928.79	$4,052.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,928.79 / $1,967.37 / $2,011.60	Professional		$1,928.79	$1,967.37	$2,011.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,201.77 / $3,627.32 / $4,052.87	Facility		$3,201.77	$3,627.32	$4,052.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,928.98 / $2,199.78 / $3,035.69	Professional		$1,928.98	$2,199.78	$3,035.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.17 / $3,850.24 / $5,471.37	Facility		$1,621.17	$3,850.24	$5,471.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,702.23 / $4,042.75 / $5,197.82	Professional		$1,702.23	$4,042.75	$5,197.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $4,052.87	Facility		$3,214.74	$3,214.74	$4,052.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $3,214.74 / $4,107.85	Professional		$2,732.53	$3,214.74	$4,107.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.11 / $2,021.93 / $2,780.96	Professional		$1,203.11	$2,021.93	$2,780.96