Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,162.28 / $13,803.84	Facility		$1,023.29	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,344.23	Professional		$1,096.48	$1,621.81	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,748.98 / $11,748.98	Facility		$9,549.93	$11,748.98	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,380.38	Professional		$676.08	$1,023.29	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $33,884.42 / $52,480.75	Facility		$2,041.74	$33,884.42	$52,480.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $29,512.09 / $52,480.75	Professional		$2,290.87	$29,512.09	$52,480.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,782.79 / $33,884.42	Facility		$3,019.95	$17,782.79	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $4,786.30	Professional		$1,737.80	$2,238.72	$4,786.30