Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.27 / $2,318.00 / $16,042.00	Facility		$1,125.27	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.36 / $1,135.75 / $1,528.28	Professional		$1,022.36	$1,135.75	$1,528.28
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 $1,027.38 / $1,398.60 / $1,930.06	Professional		$1,027.38	$1,398.60	$1,930.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,120.83 / $1,538.39 / $2,307.59	Facility		$1,120.83	$1,538.39	$2,307.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,098.84 / $1,373.56 / $1,977.93	Professional		$1,098.84	$1,373.56	$1,977.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.77 / $1,530.56 / $2,523.00	Professional		$1,176.77	$1,530.56	$2,523.00
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 $976.80 / $1,311.28 / $2,344.82	Professional		$976.80	$1,311.28	$2,344.82