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 / $14,125.38	Facility		$1,380.38	$4,897.79	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,951.21	Professional		$1,202.26	$1,412.54	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $18,197.01 / $26,302.68	Facility		$4,365.16	$18,197.01	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,137.96	Professional		$1,096.48	$1,380.38	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,412.54	Facility		$1,202.26	$1,230.27	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,951.21	Facility		$1,230.27	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,884.03	Professional		$1,148.15	$1,548.82	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,549.93 / $16,218.10	Facility		$4,466.84	$9,549.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,137.96	Professional		$1,071.52	$1,412.54	$2,137.96