Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.47 / $1,386.00 / $4,846.00	Facility		$1,224.47	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.97 / $1,224.47 / $1,720.98	Professional		$1,143.97	$1,224.47	$1,720.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,391.00 / $2,391.00 / $4,614.63	Facility		$2,391.00	$2,391.00	$4,614.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.80 / $2,391.00 / $3,299.58	Professional		$1,912.80	$2,391.00	$3,299.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,257.77 / $1,624.62 / $30,558.41	Facility		$1,257.77	$1,624.62	$30,558.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,048.14 / $1,257.77 / $2,515.40	Professional		$1,048.14	$1,257.77	$2,515.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,682.70 / $3,156.12 / $8,522.02	Professional		$2,682.70	$3,156.12	$8,522.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,776.31 / $2,272.86 / $3,575.71	Professional		$1,776.31	$2,272.86	$3,575.71