Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.28 / $4,846.00 / $27,433.06	Facility		$1,196.28	$4,846.00	$27,433.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.78 / $1,211.46 / $1,628.78	Professional		$1,091.78	$1,211.46	$1,628.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $20,184.00 / $30,193.55	Facility		$4,800.00	$20,184.00	$30,193.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.76 / $1,624.10 / $2,241.25	Professional		$1,112.76	$1,624.10	$2,241.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,188.46 / $1,631.22 / $2,446.83	Facility		$1,188.46	$1,631.22	$2,446.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,165.16 / $1,456.45 / $2,097.29	Professional		$1,165.16	$1,456.45	$2,097.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.64 / $1,631.28 / $2,679.87	Professional		$1,274.64	$1,631.28	$2,679.87
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 $1,052.16 / $1,419.52 / $2,501.05	Professional		$1,052.16	$1,419.52	$2,501.05