Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,499.65 / $16,042.00	Facility		$1,386.00	$2,499.65	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.35 / $1,579.28 / $2,151.15	Professional		$1,470.35	$1,579.28	$2,151.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,544.00 / $21,610.88 / $30,193.55	Facility		$4,544.00	$21,610.88	$30,193.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.81 / $1,593.52 / $2,199.05	Professional		$1,274.81	$1,593.52	$2,199.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.08 / $1,922.80 / $2,218.62	Facility		$1,479.08	$1,922.80	$2,218.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.08 / $1,774.90 / $2,218.62	Professional		$1,479.08	$1,774.90	$2,218.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.72 / $2,129.81 / $2,946.27	Professional		$1,594.72	$2,129.81	$2,946.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.56 / $2,013.51 / $3,458.56	Professional		$1,433.56	$2,013.51	$3,458.56