Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.17 / $2,937.56 / $14,063.00	Facility		$1,200.17	$2,937.56	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.00 / $1,200.17 / $1,485.93	Professional		$1,081.00	$1,200.17	$1,485.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $8,512.00 / $16,307.00	Facility		$3,719.00	$8,512.00	$16,307.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.16 / $1,290.20 / $1,780.47	Professional		$1,032.16	$1,290.20	$1,780.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,155.83 / $1,631.75 / $2,447.63	Facility		$1,155.83	$1,631.75	$2,447.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,109.58 / $1,414.18 / $1,958.10	Professional		$1,109.58	$1,414.18	$1,958.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,955.47 / $4,955.47 / $4,955.47	Facility		$4,955.47	$4,955.47	$4,955.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.95 / $1,408.99 / $2,583.55	Professional		$1,016.95	$1,408.99	$2,583.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.63 / $1,313.22 / $2,289.37	Professional		$1,064.63	$1,313.22	$2,289.37