Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $4,897.79	Facility		$2,344.23	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,754.40	Professional		$2,691.53	$3,162.28	$5,754.40
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 $1,737.80 / $2,187.76 / $3,311.31	Professional		$1,737.80	$2,187.76	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,311.31	Facility		$2,818.38	$2,951.21	$3,311.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $5,128.61	Facility		$2,137.96	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,311.31 / $5,623.41	Professional		$1,479.11	$3,311.31	$5,623.41
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 $2,290.87 / $3,090.30 / $4,897.79	Professional		$2,290.87	$3,090.30	$4,897.79