Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,897.79	Facility		$1,905.46	$2,630.27	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,235.94	Professional		$1,621.81	$1,905.46	$3,235.94
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 $1,412.54 / $1,778.28 / $2,884.03	Professional		$1,412.54	$1,778.28	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,995.26	Facility		$1,698.24	$1,778.28	$1,995.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $3,090.30	Facility		$758.58	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,630.78	Professional		$1,445.44	$2,290.87	$3,630.78
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 $1,513.56 / $1,949.84 / $2,951.21	Professional		$1,513.56	$1,949.84	$2,951.21