Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $4,897.79	Facility		$2,344.23	$3,801.89	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $5,128.61	Professional		$2,238.72	$2,630.27	$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 $2,398.83 / $3,162.28 / $5,011.87	Professional		$2,398.83	$3,162.28	$5,011.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $2,818.38	Facility		$2,238.72	$2,511.89	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $5,248.07	Professional		$2,398.83	$3,311.31	$5,248.07
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 $2,089.30 / $2,818.38 / $4,677.35	Professional		$2,089.30	$2,818.38	$4,677.35