Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,025.60 / $14,454.40	Facility		$3,890.45	$6,025.60	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $3,715.35	Professional		$2,570.40	$3,162.28	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $11,748.98	Facility		$3,890.45	$3,890.45	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,630.27	Professional		$851.14	$1,258.93	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $56,234.13 / $85,113.80	Facility		$3,715.35	$56,234.13	$85,113.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,677.35 / $11,748.98	Professional		$1,659.59	$4,677.35	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,890.45	Professional		$1,621.81	$2,344.23	$3,890.45