Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $4,897.79	Facility		$2,344.23	$3,311.31	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,890.45	Professional		$2,041.74	$2,398.83	$3,890.45
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 $1,862.09 / $2,454.71 / $3,801.89	Professional		$1,862.09	$2,454.71	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,454.71	Facility		$2,089.30	$2,137.96	$2,454.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,801.89 / $3,801.89	Facility		$758.58	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $4,677.35	Professional		$1,819.70	$2,818.38	$4,677.35
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 $1,949.84 / $2,511.89 / $3,801.89	Professional		$1,949.84	$2,511.89	$3,801.89