Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $4,897.79	Facility		$2,344.23	$4,677.35	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,495.41	Professional		$2,754.23	$3,235.94	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $30,199.52 / $41,686.94	Facility		$12,589.25	$30,199.52	$41,686.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $5,754.40	Professional		$2,818.38	$3,715.35	$5,754.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,467.37	Facility		$2,951.21	$3,019.95	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,786.30 / $6,456.54	Facility		$3,019.95	$4,786.30	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $6,760.83	Professional		$3,019.95	$4,168.69	$6,760.83
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 $2,818.38 / $3,548.13 / $5,754.40	Professional		$2,818.38	$3,548.13	$5,754.40