Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $4,897.79	Facility		$2,344.23	$3,311.31	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $4,365.16	Professional		$2,041.74	$2,454.71	$4,365.16
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 $1,380.38 / $1,778.28 / $2,630.27	Professional		$1,380.38	$1,778.28	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,511.89	Facility		$2,137.96	$2,238.72	$2,511.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,890.45 / $3,890.45	Facility		$758.58	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $4,677.35	Professional		$1,445.44	$2,754.23	$4,677.35
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 $1,905.46 / $2,454.71 / $3,801.89	Professional		$1,905.46	$2,454.71	$3,801.89