Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.76 / $1,386.00 / $4,846.00	Facility		$1,039.76	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.37 / $1,050.58 / $1,403.68	Professional		$944.37	$1,050.58	$1,403.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $33,765.49 / $49,433.26	Facility		$4,800.00	$33,765.49	$49,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.70 / $1,385.90 / $1,912.54	Professional		$927.70	$1,385.90	$1,912.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,035.01 / $1,420.61 / $2,130.92	Facility		$1,035.01	$1,420.61	$2,130.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.72 / $1,217.66 / $1,826.49	Professional		$1,014.72	$1,217.66	$1,826.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.28 / $1,364.83 / $2,294.69	Professional		$1,090.28	$1,364.83	$2,294.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,051.00 / $11,452.00 / $17,416.00	Facility		$5,051.00	$11,452.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.53 / $1,217.66 / $2,117.48	Professional		$912.53	$1,217.66	$2,117.48