Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $4,897.79	Facility		$1,698.24	$3,467.37	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,073.80	Professional		$1,621.81	$1,949.84	$4,073.80
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 $1,737.80 / $2,630.27 / $4,073.80	Professional		$1,737.80	$2,630.27	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,041.74	Facility		$1,737.80	$1,819.70	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $3,801.89	Facility		$1,778.28	$2,691.53	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,801.89	Professional		$1,698.24	$2,187.76	$3,801.89
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 $1,659.59 / $2,089.30 / $3,467.37	Professional		$1,659.59	$2,089.30	$3,467.37