Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $4,897.79	Facility		$1,659.59	$3,467.37	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,162.28	Professional		$1,621.81	$1,905.46	$3,162.28
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 $1,621.81 / $2,137.96 / $3,467.37	Professional		$1,621.81	$2,137.96	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,041.74	Facility		$1,621.81	$1,778.28	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $3,801.89	Facility		$1,819.70	$2,630.27	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,630.78	Professional		$1,621.81	$2,187.76	$3,630.78
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 $1,479.11 / $1,995.26 / $3,311.31	Professional		$1,479.11	$1,995.26	$3,311.31