Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.70 / $2,967.68 / $2,967.68	Facility		$1,162.70	$2,967.68	$2,967.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.92 / $3,003.39 / $3,929.18	Professional		$968.92	$3,003.39	$3,929.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $540.00 / $766.80	Professional		$459.00	$540.00	$766.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,704.42 / $5,995.83 / $26,999.73	Facility		$4,704.42	$5,995.83	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,612.18 / $5,435.04 / $6,918.27	Professional		$4,612.18	$5,435.04	$6,918.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.80 / $1,868.80 / $2,215.28	Facility		$1,868.80	$1,868.80	$2,215.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.13 / $3,718.86 / $5,835.06	Professional		$875.13	$3,718.86	$5,835.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,756.88 / $3,078.95 / $6,040.97	Professional		$1,756.88	$3,078.95	$6,040.97