Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $4,897.79	Facility		$1,380.38	$3,467.37	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,862.09	Professional		$1,023.29	$1,148.15	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,659.59	Professional		$831.76	$1,047.13	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,288.25	Facility		$1,096.48	$1,122.02	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,995.26 / $1,995.26	Facility		$758.58	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,290.87	Professional		$912.01	$1,412.54	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,623.41 / $12,022.64	Facility		$1,023.29	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,905.46	Professional		$933.25	$1,230.27	$1,905.46