Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,467.37 / $4,897.79	Facility		$1,445.44	$3,467.37	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,630.27	Professional		$1,348.96	$1,698.24	$2,630.27
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 $1,288.25 / $1,778.28 / $2,818.38	Professional		$1,288.25	$1,778.28	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,819.70	Facility		$1,548.82	$1,621.81	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,162.28	Facility		$1,584.89	$2,454.71	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,548.13	Professional		$1,513.56	$2,041.74	$3,548.13
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 $1,288.25 / $1,737.80 / $2,951.21	Professional		$1,288.25	$1,737.80	$2,951.21