Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $4,897.79	Facility		$1,380.38	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $2,290.87	Professional		$426.58	$501.19	$2,290.87
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 $288.40 / $338.84 / $562.34	Professional		$288.40	$338.84	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $478.63 / $537.03	Facility		$457.09	$478.63	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $812.83 / $812.83	Facility		$758.58	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $912.01	Professional		$446.68	$602.56	$912.01
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 $371.54 / $512.86 / $794.33	Professional		$371.54	$512.86	$794.33