Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $16,218.10	Facility		$1,412.54	$4,897.79	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $2,398.83	Professional		$1,380.38	$1,513.56	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $40,738.03 / $57,543.99	Facility		$16,982.44	$40,738.03	$57,543.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,162.28	Professional		$1,445.44	$2,041.74	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,737.80	Facility		$1,380.38	$1,513.56	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,162.28	Facility		$1,698.24	$2,454.71	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,691.53	Professional		$1,445.44	$1,905.46	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,182.57 / $20,417.38	Facility		$6,165.95	$13,182.57	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,090.30	Professional		$1,288.25	$1,778.28	$3,090.30