Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $14,125.38	Facility		$1,380.38	$4,897.79	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $3,019.95	Professional		$1,174.90	$1,380.38	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $13,803.84 / $19,054.61	Facility		$4,365.16	$13,803.84	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,819.70	Professional		$912.01	$1,096.48	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,548.82	Facility		$1,230.27	$1,380.38	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $2,691.53	Facility		$1,348.96	$2,041.74	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,511.89	Professional		$1,174.90	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,762.47 / $10,964.78	Facility		$2,691.53	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,398.83	Professional		$1,071.52	$1,412.54	$2,398.83