Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $4,897.79	Facility		$2,187.76	$3,388.44	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,981.07	Professional		$2,041.74	$2,398.83	$3,981.07
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 $1,548.82 / $1,949.84 / $3,162.28	Professional		$1,548.82	$1,949.84	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,511.89	Facility		$2,137.96	$2,238.72	$2,511.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,890.45 / $3,890.45	Facility		$758.58	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $4,265.80	Professional		$1,778.28	$2,691.53	$4,265.80
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 $1,819.70 / $2,344.23 / $3,715.35	Professional		$1,819.70	$2,344.23	$3,715.35