Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,897.79 / $16,218.10	Facility		$1,659.59	$4,897.79	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,754.23	Professional		$1,513.56	$1,862.09	$2,754.23
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 $1,348.96 / $1,584.89 / $2,511.89	Professional		$1,348.96	$1,584.89	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $1,905.46	Facility		$1,621.81	$1,659.59	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $2,818.38	Facility		$1,659.59	$2,398.83	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,818.38	Professional		$1,584.89	$2,089.30	$2,818.38
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 $1,513.56 / $1,949.84 / $3,090.30	Professional		$1,513.56	$1,949.84	$3,090.30