Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $16,218.10	Facility		$1,380.38	$4,897.79	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,311.31	Professional		$2,137.96	$2,290.87	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $14,125.38 / $19,054.61	Facility		$4,570.88	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,995.26	Professional		$1,047.13	$1,230.27	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,691.53	Facility		$2,630.27	$2,630.27	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $4,168.69	Professional		$1,659.59	$2,951.21	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,762.47 / $10,964.78	Facility		$3,090.30	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,265.80	Professional		$1,949.84	$2,630.27	$4,265.80