Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $5,128.61	Facility		$1,737.80	$2,884.03	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,041.74	Professional		$1,148.15	$1,698.24	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $13.18	Professional		$11.22	$13.18	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $30,902.95 / $56,234.13	Facility		$2,511.89	$30,902.95	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $39,810.72	Professional		$2,344.23	$2,951.21	$39,810.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,388.44 / $3,388.44	Facility		$1,380.38	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,137.96	Professional		$891.25	$1,288.25	$2,137.96