Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $11,220.18	Facility		$1,348.96	$4,897.79	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,398.83	Professional		$1,148.15	$1,380.38	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $25,118.86 / $31,622.78	Facility		$10,471.29	$25,118.86	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,041.74	Professional		$1,023.29	$1,288.25	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,412.54	Facility		$1,202.26	$1,258.93	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,570.40	Facility		$1,258.93	$1,819.70	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,398.83	Professional		$1,000.00	$1,513.56	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,762.47 / $10,964.78	Facility		$3,235.94	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,089.30	Professional		$1,071.52	$1,380.38	$2,089.30