Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $4,897.79	Facility		$1,412.54	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,398.83	Professional		$1,318.26	$1,513.56	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $17,378.01 / $25,703.96	Facility		$8,317.64	$17,378.01	$25,703.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Professional		$1,096.48	$1,479.11	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,412.54	Facility		$1,202.26	$1,348.96	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,162.28	Facility		$1,318.26	$2,041.74	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $4,073.80	Professional		$1,230.27	$1,621.81	$4,073.80
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 $1,174.90 / $1,659.59 / $2,630.27	Professional		$1,174.90	$1,659.59	$2,630.27