Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $4,897.79	Facility		$2,344.23	$4,570.88	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,128.61	Professional		$2,884.03	$3,311.31	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $25,703.96 / $32,359.37	Facility		$9,549.93	$25,703.96	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,677.35	Professional		$2,570.40	$3,019.95	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $3,467.37	Facility		$2,951.21	$3,090.30	$3,467.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $5,370.32	Facility		$758.58	$5,370.32	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,981.07 / $5,754.40	Professional		$2,511.89	$3,981.07	$5,754.40
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 $2,691.53 / $3,630.78 / $5,623.41	Professional		$2,691.53	$3,630.78	$5,623.41