Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $17,378.01	Facility		$1,380.38	$4,897.79	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,819.70	Professional		$1,071.52	$1,230.27	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $22,908.68 / $31,622.78	Facility		$10,471.29	$22,908.68	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,511.89	Professional		$1,047.13	$1,621.81	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,380.38	Facility		$1,174.90	$1,230.27	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,818.38	Professional		$1,258.93	$1,737.80	$2,818.38
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 $1,148.15 / $1,412.54 / $2,238.72	Professional		$1,148.15	$1,412.54	$2,238.72