Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $13,489.63	Facility		$4,265.80	$5,754.40	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $3,715.35	Professional		$1,995.26	$2,951.21	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $10,964.78	Facility		$3,715.35	$3,715.35	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,162.28	Professional		$1,513.56	$1,513.56	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $53,703.18 / $79,432.82	Facility		$3,548.13	$53,703.18	$79,432.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $14,454.40	Facility		$2,398.83	$2,398.83	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,466.84 / $10,964.78	Professional		$1,995.26	$4,466.84	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,715.35	Professional		$1,548.82	$2,187.76	$3,715.35