Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $4,897.79	Facility		$1,348.96	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,238.72	Professional		$1,148.15	$1,348.96	$2,238.72
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 $891.25 / $1,122.02 / $1,778.28	Professional		$891.25	$1,122.02	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,412.54	Facility		$1,202.26	$1,230.27	$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 $758.58 / $2,187.76 / $2,187.76	Facility		$758.58	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,454.71	Professional		$1,000.00	$1,548.82	$2,454.71
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 $1,023.29 / $1,318.26 / $2,041.74	Professional		$1,023.29	$1,318.26	$2,041.74