Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,069.50 / $2,251.44 / $4,846.00	Facility		$2,069.50	$2,251.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.95 / $2,251.44 / $3,039.44	Professional		$2,016.95	$2,251.44	$3,039.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,338.00 / $26,304.00	Facility		$2,310.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,880.82 / $2,502.10 / $3,452.89	Professional		$1,880.82	$2,502.10	$3,452.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,176.81 / $2,829.85 / $3,265.22	Facility		$2,176.81	$2,829.85	$3,265.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,176.81 / $2,612.17 / $3,265.22	Professional		$2,176.81	$2,612.17	$3,265.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,206.61 / $2,819.04 / $4,860.52	Professional		$2,206.61	$2,819.04	$4,860.52
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 $1,925.02 / $2,566.69 / $4,742.43	Professional		$1,925.02	$2,566.69	$4,742.43