Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,128.61 / $14,125.38	Facility		$1,380.38	$5,128.61	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $9,549.93	Professional		$4,365.16	$5,128.61	$9,549.93
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 $3,235.94 / $3,890.45 / $6,165.95	Professional		$3,235.94	$3,890.45	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $5,370.32	Facility		$4,570.88	$4,786.30	$5,370.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,760.83 / $10,000.00	Facility		$4,466.84	$6,760.83	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $5,754.40 / $9,549.93	Professional		$1,445.44	$5,754.40	$9,549.93
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 $3,981.07 / $5,370.32 / $8,128.31	Professional		$3,981.07	$5,370.32	$8,128.31