Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,897.79 / $23,988.33	Facility		$1,122.02	$4,897.79	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,862.09	Professional		$891.25	$1,023.29	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $35,481.34 / $52,480.75	Facility		$4,365.16	$35,481.34	$52,480.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,238.72	Professional		$1,000.00	$1,445.44	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,122.02	Facility		$891.25	$1,000.00	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $15,135.61	Facility		$12,589.25	$12,589.25	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,187.76	Professional		$1,000.00	$1,348.96	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $18,197.01	Facility		$4,466.84	$10,471.29	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,949.84	Professional		$812.83	$1,122.02	$1,949.84