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 $1,230.27 / $1,445.44 / $2,344.23	Professional		$1,230.27	$1,445.44	$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 $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,445.44	Facility		$1,230.27	$1,288.25	$1,445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,290.87 / $2,290.87	Facility		$758.58	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,754.23	Professional		$1,148.15	$1,698.24	$2,754.23
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 / $1,479.11 / $2,290.87	Professional		$1,122.02	$1,479.11	$2,290.87