Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,897.79	Facility		$1,949.84	$2,630.27	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,388.44	Professional		$1,659.59	$1,905.46	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $13,489.63 / $19,054.61	Facility		$6,456.54	$13,489.63	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,162.28	Professional		$1,513.56	$2,041.74	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,041.74	Facility		$1,737.80	$1,819.70	$2,041.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $3,890.45	Facility		$1,862.09	$2,951.21	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,630.78	Professional		$1,412.54	$2,187.76	$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 $1,548.82 / $2,041.74 / $3,090.30	Professional		$1,548.82	$2,041.74	$3,090.30