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 / $4,897.79	Facility		$1,380.38	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $1,862.09	Professional		$1,819.70	$1,862.09	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $25,703.96 / $32,359.37	Facility		$9,772.37	$25,703.96	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,951.21	Professional		$1,584.89	$1,905.46	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,011.87	Facility		$4,897.79	$4,897.79	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,041.74	Facility		$1,621.81	$1,621.81	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,630.27 / $4,786.30	Professional		$630.96	$2,630.27	$4,786.30
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 $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30