Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.84 / $2,117.03 / $4,846.00	Facility		$1,890.84	$2,117.03	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,764.19 / $1,922.99 / $2,584.85	Professional		$1,764.19	$1,922.99	$2,584.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $23,175.52 / $32,252.00	Facility		$5,778.00	$23,175.52	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,882.63 / $3,261.90 / $4,501.42	Professional		$1,882.63	$3,261.90	$4,501.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,836.61 / $2,387.59 / $2,754.92	Facility		$1,836.61	$2,387.59	$2,754.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,836.61 / $2,176.57 / $2,754.92	Professional		$1,836.61	$2,176.57	$2,754.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,106.38 / $3,032.81 / $4,852.27	Professional		$2,106.38	$3,032.81	$4,852.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,051.00 / $11,452.00 / $17,416.00	Facility		$5,051.00	$11,452.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,703.07 / $2,300.75 / $4,160.66	Professional		$1,703.07	$2,300.75	$4,160.66