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 / $16,218.10	Facility		$1,380.38	$4,897.79	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,584.89	Professional		$870.96	$1,047.13	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $18,197.01 / $26,302.68	Facility		$4,570.88	$18,197.01	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,230.27	Professional		$630.96	$741.31	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $912.01 / $1,047.13	Facility		$891.25	$912.01	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,819.70	Facility		$891.25	$1,380.38	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,995.26	Professional		$741.31	$1,023.29	$1,995.26
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 $776.25 / $977.24 / $1,513.56	Professional		$776.25	$977.24	$1,513.56