Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,897.79	Facility		$2,089.30	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $4,677.35	Professional		$1,905.46	$2,290.87	$4,677.35
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 $1,949.84 / $3,019.95 / $4,677.35	Professional		$1,949.84	$3,019.95	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,137.96	Facility		$1,819.70	$1,995.26	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $5,888.44	Professional		$1,905.46	$2,884.03	$5,888.44
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 $1,778.28 / $2,344.23 / $3,890.45	Professional		$1,778.28	$2,344.23	$3,890.45