Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,897.79	Facility		$1,995.26	$2,570.40	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $3,388.44	Professional		$1,659.59	$1,819.70	$3,388.44
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 $1,659.59 / $2,454.71 / $3,801.89	Professional		$1,659.59	$2,454.71	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,041.74	Facility		$1,737.80	$1,819.70	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $3,715.35	Facility		$1,819.70	$2,884.03	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,981.07	Professional		$1,659.59	$2,187.76	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,467.37	Professional		$1,659.59	$2,089.30	$3,467.37