Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,791.89 / $13,791.90 / $28,980.20	Facility		$13,791.89	$13,791.90	$28,980.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,791.89 / $14,067.73 / $14,421.30	Professional		$13,791.89	$14,067.73	$14,421.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,894.34 / $25,937.26 / $28,980.18	Facility		$22,894.34	$25,937.26	$28,980.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14,519.19 / $17,411.83 / $23,908.64	Professional		$14,519.19	$17,411.83	$23,908.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21,852.92 / $31,878.20 / $43,470.27	Facility		$21,852.92	$31,878.20	$43,470.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24,633.15 / $31,878.20 / $39,123.24	Professional		$24,633.15	$31,878.20	$39,123.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $28,980.18	Facility		$16,200.25	$16,200.25	$28,980.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $16,200.25 / $29,728.06	Professional		$11,826.18	$16,200.25	$29,728.06
United Facility/Professional Facility Modifier Low / Median / High Price $41,482.01 / $41,482.01 / $41,482.01	Facility		$41,482.01	$41,482.01	$41,482.01
United Facility/Professional Professional Modifier Low / Median / High Price $8,622.87 / $14,457.89 / $19,931.41	Professional		$8,622.87	$14,457.89	$19,931.41