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 $954.99 / $1,148.15 / $2,187.76	Professional		$954.99	$1,148.15	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,454.40 / $19,498.45	Facility		$6,456.54	$14,454.40	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,949.84	Professional		$933.25	$1,174.90	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,258.93	Facility		$1,000.00	$1,096.48	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,238.72	Facility		$1,096.48	$1,445.44	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,949.84	Professional		$933.25	$1,288.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $17,378.01	Facility		$5,011.87	$11,481.54	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,949.84	Professional		$870.96	$1,148.15	$1,949.84