Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.83 / $1,263.83 / $2,655.63	Facility		$1,263.83	$1,263.83	$2,655.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.29 / $1,296.70 / $1,343.15	Professional		$1,254.29	$1,296.70	$1,343.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,330.48 / $1,330.48 / $2,567.83	Facility		$1,330.48	$1,330.48	$2,567.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.48 / $1,330.48 / $1,995.72	Professional		$1,330.48	$1,330.48	$1,995.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,035.31 / $2,921.19 / $3,983.45	Facility		$2,035.31	$2,921.19	$3,983.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,257.29 / $2,921.19 / $3,585.10	Professional		$2,257.29	$2,921.19	$3,585.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $2,655.63	Facility		$1,482.94	$1,482.94	$2,655.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $2,724.16	Professional		$1,260.50	$1,482.94	$2,724.16
United Facility/Professional Professional Modifier Low / Median / High Price $789.32 / $1,324.86 / $1,824.48	Professional		$789.32	$1,324.86	$1,824.48