Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $4,897.79	Facility		$2,238.72	$3,235.94	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $4,073.80	Professional		$1,905.46	$2,290.87	$4,073.80
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 $1,412.54 / $1,737.80 / $2,818.38	Professional		$1,412.54	$1,737.80	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,398.83	Facility		$2,041.74	$2,137.96	$2,398.83
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 $758.58 / $3,715.35 / $3,715.35	Facility		$758.58	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $4,073.80	Professional		$1,584.89	$2,570.40	$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 / $3,467.37	Professional		$1,737.80	$2,290.87	$3,467.37