Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $4,897.79	Facility		$1,513.56	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,511.89	Professional		$1,318.26	$1,548.82	$2,511.89
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 / $1,230.27 / $1,995.26	Professional		$1,047.13	$1,230.27	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,584.89	Facility		$1,348.96	$1,412.54	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,454.71 / $2,454.71	Facility		$758.58	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,951.21	Professional		$1,174.90	$1,778.28	$2,951.21
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 $1,202.26 / $1,584.89 / $2,398.83	Professional		$1,202.26	$1,584.89	$2,398.83