Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.48 / $4,846.00 / $16,042.00	Facility		$1,628.48	$4,846.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.99 / $1,654.74 / $2,225.54	Professional		$1,500.99	$1,654.74	$2,225.54
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 $1,168.09 / $1,387.80 / $1,970.67	Professional		$1,168.09	$1,387.80	$1,970.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,615.82 / $2,217.80 / $3,326.70	Facility		$1,615.82	$2,217.80	$3,326.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.14 / $1,980.18 / $2,851.46	Professional		$1,584.14	$1,980.18	$2,851.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.70 / $1,885.70 / $2,981.69	Professional		$1,225.70	$1,885.70	$2,981.69
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 $1,130.65 / $1,795.51 / $3,322.48	Professional		$1,130.65	$1,795.51	$3,322.48