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 $1,348.96 / $1,621.81 / $2,691.53	Professional		$1,348.96	$1,621.81	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,137.96	Professional		$1,096.48	$1,318.26	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,698.24	Facility		$1,412.54	$1,479.11	$1,698.24
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 $1,513.56 / $2,137.96 / $3,090.30	Facility		$1,513.56	$2,137.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $3,019.95	Professional		$1,071.52	$1,819.70	$3,019.95
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 $1,258.93 / $1,621.81 / $2,511.89	Professional		$1,258.93	$1,621.81	$2,511.89