Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $4,897.79	Facility		$2,344.23	$4,466.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,623.41	Professional		$2,754.23	$3,235.94	$5,623.41
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 $2,570.40 / $3,715.35 / $5,754.40	Professional		$2,570.40	$3,715.35	$5,754.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,388.44	Facility		$2,884.03	$3,019.95	$3,388.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $5,888.44	Facility		$2,884.03	$4,570.88	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $5,888.44	Professional		$2,238.72	$3,715.35	$5,888.44
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 $2,454.71 / $3,311.31 / $5,011.87	Professional		$2,454.71	$3,311.31	$5,011.87