Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.25 / $4,846.00 / $16,042.00	Facility		$1,389.25	$4,846.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.32 / $1,408.79 / $1,894.95	Professional		$1,275.32	$1,408.79	$1,894.95
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 $975.13 / $1,167.30 / $1,657.56	Professional		$975.13	$1,167.30	$1,657.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,437.24 / $1,893.78 / $2,840.67	Facility		$1,437.24	$1,893.78	$2,840.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,352.70 / $1,690.88 / $2,434.86	Professional		$1,352.70	$1,690.88	$2,434.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.07 / $1,544.60 / $2,542.04	Professional		$960.07	$1,544.60	$2,542.04
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 $863.36 / $1,496.54 / $2,772.18	Professional		$863.36	$1,496.54	$2,772.18