Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $4,897.79	Facility		$1,380.38	$3,467.37	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,691.53	Professional		$1,380.38	$1,659.59	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $40,738.03 / $57,543.99	Facility		$16,982.44	$40,738.03	$57,543.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,019.95	Professional		$1,380.38	$1,905.46	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,621.81	Facility		$1,348.96	$1,412.54	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,019.95	Professional		$1,412.54	$1,949.84	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,570.40	Professional		$1,288.25	$1,698.24	$2,570.40