Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,897.79	Facility		$2,290.87	$3,162.28	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $5,128.61	Professional		$2,089.30	$2,570.40	$5,128.61
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 $1,995.26 / $3,090.30 / $4,786.30	Professional		$1,995.26	$3,090.30	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,344.23	Facility		$1,995.26	$2,187.76	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,365.16 / $5,754.40	Facility		$2,187.76	$4,365.16	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $7,762.47	Professional		$2,041.74	$2,754.23	$7,762.47
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 $1,949.84 / $2,511.89 / $4,365.16	Professional		$1,949.84	$2,511.89	$4,365.16