Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,500.00 / $10,985.00	Facility		$1,386.00	$3,500.00	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,237.54 / $2,339.23 / $3,121.26	Professional		$2,237.54	$2,339.23	$3,121.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $48,259.71 / $70,653.03	Facility		$5,778.00	$48,259.71	$70,653.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,063.19 / $3,163.40 / $4,365.49	Professional		$2,063.19	$3,163.40	$4,365.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,212.63 / $2,876.42 / $3,318.95	Facility		$2,212.63	$2,876.42	$3,318.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,212.63 / $2,626.91 / $3,318.95	Professional		$2,212.63	$2,626.91	$3,318.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.61 / $3,098.03 / $5,089.04	Professional		$2,401.61	$3,098.03	$5,089.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,475.00 / $14,307.00 / $19,962.00	Facility		$6,475.00	$14,307.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,123.59 / $2,768.24 / $4,950.92	Professional		$2,123.59	$2,768.24	$4,950.92