Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $6,456.54	Facility		$1,995.26	$2,691.53	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,621.81	Professional		$1,122.02	$1,412.54	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,248.07	Facility		$1,737.80	$1,737.80	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,698.24	Professional		$724.44	$851.14	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $25,118.86 / $38,018.94	Facility		$1,698.24	$25,118.86	$38,018.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $6,760.83	Facility		$1,122.02	$1,122.02	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $5,248.07	Professional		$1,122.02	$2,137.96	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,737.80	Professional		$724.44	$1,047.13	$1,737.80