Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,058.37 / $4,091.64 / $9,262.67	Facility		$2,058.37	$4,091.64	$9,262.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.56 / $2,058.37 / $2,133.67	Professional		$1,857.56	$2,058.37	$2,133.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $7,530.63 / $13,627.93	Facility		$304.00	$7,530.63	$13,627.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $304.00 / $410.40	Professional		$258.39	$304.00	$410.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $3,263.27 / $4,016.34	Facility		$2,510.21	$3,263.27	$4,016.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $3,012.25 / $3,765.32	Professional		$2,510.21	$3,012.25	$3,765.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $4,744.07 / $9,789.42	Facility		$1,631.64	$4,744.07	$9,789.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.28 / $2,619.00 / $3,326.13	Professional		$401.28	$2,619.00	$3,326.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $2,758.72	Professional		$1,054.29	$1,506.13	$2,758.72