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 $1,202.26 / $1,445.44 / $2,398.83	Professional		$1,202.26	$1,445.44	$2,398.83
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 $1,071.52 / $1,348.96 / $2,137.96	Professional		$1,071.52	$1,348.96	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,513.56	Facility		$1,258.93	$1,318.26	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,754.23	Facility		$1,348.96	$1,862.09	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,691.53	Professional		$1,000.00	$1,621.81	$2,691.53
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 $1,122.02 / $1,445.44 / $2,238.72	Professional		$1,122.02	$1,445.44	$2,238.72