Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,897.79	Facility		$2,089.30	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,467.37	Professional		$1,778.28	$2,089.30	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,090.30	Professional		$1,513.56	$1,905.46	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,187.76	Facility		$1,862.09	$1,949.84	$2,187.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,388.44 / $3,388.44	Facility		$758.58	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $3,981.07	Professional		$1,621.81	$2,511.89	$3,981.07
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 $1,659.59 / $2,137.96 / $3,311.31	Professional		$1,659.59	$2,137.96	$3,311.31