Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.41 / $989.41 / $2,079.00	Facility		$989.41	$989.41	$2,079.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.41 / $1,015.14 / $1,108.14	Professional		$989.41	$1,015.14	$1,108.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,642.41 / $1,860.71 / $2,079.00	Facility		$1,642.41	$1,860.71	$2,079.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,722.52 / $2,153.15 / $2,906.75	Professional		$1,722.52	$2,153.15	$2,906.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,567.71 / $2,286.90 / $3,118.50	Facility		$1,567.71	$2,286.90	$3,118.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,767.15 / $2,286.90 / $2,806.65	Professional		$1,767.15	$2,286.90	$2,806.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.00 / $1,650.90 / $2,079.00	Facility		$1,112.00	$1,650.90	$2,079.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $2,661.09	Professional		$1,403.27	$1,650.90	$2,661.09
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $1,390.17 / $2,162.13	Facility		$2.29	$1,390.17	$2,162.13
United Facility/Professional Professional Modifier Low / Median / High Price $617.85 / $1,235.70 / $2,161.65	Professional		$617.85	$1,235.70	$2,161.65