Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $4,897.79	Facility		$1,174.90	$2,344.23	$4,897.79
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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,230.27	Facility		$1,047.13	$1,071.52	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,238.72	Facility		$1,096.48	$1,513.56	$2,238.72
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