Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,897.79	Facility		$1,548.82	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,951.21	Professional		$1,348.96	$1,584.89	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $19,952.62 / $27,542.29	Facility		$9,120.11	$19,952.62	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $3,235.94	Professional		$1,318.26	$2,187.76	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,621.81	Facility		$1,380.38	$1,412.54	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,019.95	Facility		$1,548.82	$2,398.83	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $3,090.30	Professional		$1,174.90	$1,905.46	$3,090.30
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 $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89