Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,801.89	Facility		$1,318.26	$1,778.28	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,096.48	Professional		$758.58	$933.25	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,388.44	Facility		$1,148.15	$1,148.15	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $2,290.87	Professional		$1,148.15	$1,258.93	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $16,595.87 / $25,118.86	Facility		$1,096.48	$16,595.87	$25,118.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $4,466.84	Facility		$741.31	$741.31	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $3,467.37	Professional		$1,318.26	$1,412.54	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,148.15	Professional		$478.63	$691.83	$1,148.15