Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $4,897.79	Facility		$2,137.96	$3,548.13	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,890.45	Professional		$2,041.74	$2,454.71	$3,890.45
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 $2,187.76 / $2,754.23 / $4,265.80	Professional		$2,187.76	$2,754.23	$4,265.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,570.40	Facility		$2,187.76	$2,290.87	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $4,897.79	Facility		$2,290.87	$3,630.78	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $5,623.41	Professional		$2,290.87	$3,162.28	$5,623.41
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 $2,137.96 / $2,691.53 / $4,365.16	Professional		$2,137.96	$2,691.53	$4,365.16