Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $4,897.79	Facility		$2,344.23	$3,019.95	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $3,981.07	Professional		$1,949.84	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $19,054.61 / $26,302.68	Facility		$9,549.93	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,365.16	Professional		$1,905.46	$2,754.23	$4,365.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,398.83	Facility		$2,041.74	$2,089.30	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $4,897.79	Facility		$2,137.96	$3,388.44	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $5,128.61	Professional		$1,905.46	$2,630.27	$5,128.61
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 $1,905.46 / $2,454.71 / $4,073.80	Professional		$1,905.46	$2,454.71	$4,073.80