Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $4,897.79	Facility		$1,380.38	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,187.76	Professional		$1,230.27	$1,412.54	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $25,703.96 / $32,359.37	Facility		$9,549.93	$25,703.96	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
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 $1,318.26 / $2,089.30 / $2,754.23	Facility		$1,318.26	$2,089.30	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,691.53	Professional		$1,047.13	$1,737.80	$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 $1,148.15 / $1,584.89 / $2,511.89	Professional		$1,148.15	$1,584.89	$2,511.89