Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,185.30 / $19,185.33 / $38,762.60	Facility		$19,185.30	$19,185.33	$38,762.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,447.43 / $19,923.23 / $21,030.10	Professional		$18,447.43	$19,923.23	$21,030.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,622.48 / $34,692.55 / $38,762.62	Facility		$30,622.48	$34,692.55	$38,762.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.59 / $1,905.59 / $4,036.73	Professional		$1,905.59	$1,905.59	$4,036.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29,071.97 / $42,638.89 / $57,909.48	Facility		$29,071.97	$42,638.89	$57,909.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32,948.24 / $42,638.89 / $52,329.55	Professional		$32,948.24	$42,638.89	$52,329.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38,762.62 / $38,762.62 / $38,762.62	Facility		$38,762.62	$38,762.62	$38,762.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,515.38 / $31,019.05 / $42,492.59	Professional		$2,515.38	$31,019.05	$42,492.59
United Facility/Professional Professional Modifier Low / Median / High Price $13,249.48 / $20,365.15 / $31,467.51	Professional		$13,249.48	$20,365.15	$31,467.51