Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,897.79	Facility		$1,621.81	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,511.89	Professional		$1,445.44	$1,621.81	$2,511.89
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 $1,412.54 / $2,137.96 / $3,162.28	Professional		$1,412.54	$2,137.96	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,659.59	Facility		$1,412.54	$1,479.11	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,630.27 / $2,630.27	Facility		$758.58	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,311.31	Professional		$1,258.93	$2,089.30	$3,311.31
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 $1,348.96 / $1,862.09 / $2,951.21	Professional		$1,348.96	$1,862.09	$2,951.21