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 / $1,412.54 / $2,344.23	Professional		$1,202.26	$1,412.54	$2,344.23
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 $1,047.13 / $1,318.26 / $2,089.30	Professional		$1,047.13	$1,318.26	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,479.11	Facility		$1,258.93	$1,288.25	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,691.53	Facility		$1,318.26	$1,862.09	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,630.27	Professional		$977.24	$1,584.89	$2,630.27
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 $1,096.48 / $1,445.44 / $2,187.76	Professional		$1,096.48	$1,445.44	$2,187.76