Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,897.79 / $6,760.83	Facility		$2,344.23	$4,897.79	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $8,912.51	Professional		$4,168.69	$5,011.87	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,454.40 / $19,498.45	Facility		$6,456.54	$14,454.40	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $7,943.28	Professional		$3,801.89	$5,128.61	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,570.88 / $5,128.61	Facility		$4,365.16	$4,570.88	$5,128.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,760.83 / $9,549.93	Facility		$4,677.35	$6,760.83	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,623.41 / $8,912.51	Professional		$3,548.13	$5,623.41	$8,912.51
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 $3,890.45 / $5,011.87 / $7,762.47	Professional		$3,890.45	$5,011.87	$7,762.47