Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $4,897.79	Facility		$2,238.72	$3,162.28	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,801.89	Professional		$1,905.46	$2,238.72	$3,801.89
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 $1,445.44 / $1,698.24 / $2,630.27	Professional		$1,445.44	$1,698.24	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,344.23	Facility		$1,995.26	$2,089.30	$2,344.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $4,265.80	Facility		$2,137.96	$2,754.23	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $4,073.80	Professional		$1,380.38	$2,454.71	$4,073.80
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 $1,737.80 / $2,290.87 / $3,548.13	Professional		$1,737.80	$2,290.87	$3,548.13