Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $4,897.79	Facility		$1,348.96	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $3,019.95	Professional		$1,288.25	$1,412.54	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $25,703.96 / $35,481.34	Facility		$10,232.93	$25,703.96	$35,481.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,090.30	Professional		$1,202.26	$1,995.26	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,380.38	Facility		$1,174.90	$1,288.25	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,388.44	Facility		$1,258.93	$1,995.26	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $4,570.88	Professional		$1,258.93	$1,698.24	$4,570.88
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 $1,148.15 / $1,621.81 / $2,511.89	Professional		$1,148.15	$1,621.81	$2,511.89