Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.28 / $4,846.00 / $15,116.71	Facility		$1,269.28	$4,846.00	$15,116.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,293.63 / $2,159.41	Professional		$1,179.97	$1,293.63	$2,159.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,658.85 / $26,904.00 / $45,778.00	Facility		$1,658.85	$26,904.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.92 / $1,658.85 / $2,289.21	Professional		$1,177.92	$1,658.85	$2,289.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,262.54 / $1,732.89 / $2,599.34	Facility		$1,262.54	$1,732.89	$2,599.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,237.78 / $1,485.34 / $2,228.01	Professional		$1,237.78	$1,485.34	$2,228.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,744.18 / $14,744.18 / $17,477.77	Facility		$14,744.18	$14,744.18	$17,477.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.46 / $1,653.09 / $2,766.96	Professional		$1,291.46	$1,653.09	$2,766.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,649.00	Facility		$5,058.00	$12,330.00	$17,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.19 / $1,508.89 / $2,725.53	Professional		$1,103.19	$1,508.89	$2,725.53