Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.78 / $2,318.00 / $14,063.00	Facility		$1,175.78	$2,318.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.52 / $1,194.30 / $1,602.08	Professional		$1,115.52	$1,194.30	$1,602.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $10,389.62 / $15,154.00	Facility		$4,800.00	$10,389.62	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.66 / $1,574.90 / $2,173.36	Professional		$1,097.66	$1,574.90	$2,173.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.60 / $1,601.75 / $2,402.63	Facility		$1,215.60	$1,601.75	$2,402.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,144.10 / $1,430.14 / $2,059.40	Professional		$1,144.10	$1,430.14	$2,059.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.66 / $1,604.45 / $2,631.46	Professional		$1,241.66	$1,604.45	$2,631.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.03 / $1,394.88 / $2,528.82	Professional		$1,029.03	$1,394.88	$2,528.82