Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $4,897.79	Facility		$2,344.23	$4,265.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $5,128.61	Professional		$2,570.40	$3,019.95	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $29,512.09 / $39,810.72	Facility		$12,589.25	$29,512.09	$39,810.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $5,495.41	Professional		$2,511.89	$3,388.44	$5,495.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,162.28	Facility		$2,570.40	$2,818.38	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,265.80 / $6,025.60	Facility		$2,951.21	$4,265.80	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $5,370.32	Professional		$2,570.40	$3,467.37	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,623.41 / $12,022.64	Facility		$1,412.54	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $5,248.07	Professional		$2,344.23	$3,162.28	$5,248.07