Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,624.87 / $14,063.00	Facility		$1,386.00	$2,624.87	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.76 / $1,609.26 / $2,172.50	Professional		$1,512.76	$1,609.26	$2,172.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $17,380.30 / $25,253.12	Facility		$4,838.00	$17,380.30	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,343.89 / $1,747.50 / $2,411.55	Professional		$1,343.89	$1,747.50	$2,411.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,553.18 / $2,019.13 / $2,329.77	Facility		$1,553.18	$2,019.13	$2,329.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,553.18 / $1,716.26 / $2,329.77	Professional		$1,553.18	$1,716.26	$2,329.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.00 / $2,056.78 / $3,572.31	Professional		$1,452.00	$2,056.78	$3,572.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,415.98 / $1,812.12 / $3,299.57	Professional		$1,415.98	$1,812.12	$3,299.57