Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.41 / $2,318.00 / $16,042.00	Facility		$1,019.41	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.55 / $1,093.22 / $1,376.20	Professional		$947.55	$1,093.22	$1,376.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $1,161.70 / $1,603.14	Professional		$842.40	$1,161.70	$1,603.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $998.81 / $1,298.45 / $1,498.22	Facility		$998.81	$1,298.45	$1,498.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $998.81 / $1,198.57 / $1,498.22	Professional		$998.81	$1,198.57	$1,498.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.15 / $1,289.17 / $2,138.90	Professional		$1,036.15	$1,289.17	$2,138.90
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 $862.51 / $1,175.03 / $2,080.94	Professional		$862.51	$1,175.03	$2,080.94