Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.84 / $2,318.00 / $11,093.00	Facility		$1,211.84	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.78 / $1,211.84 / $1,500.39	Professional		$1,117.78	$1,211.84	$1,500.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $15,205.00 / $25,750.00	Facility		$1,521.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.92 / $1,122.27 / $1,593.62	Professional		$953.92	$1,122.27	$1,593.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.07 / $1,659.65 / $2,489.48	Facility		$1,217.07	$1,659.65	$2,489.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,161.75 / $1,438.36 / $1,991.58	Professional		$1,161.75	$1,438.36	$1,991.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.04 / $1,576.82 / $2,605.77	Professional		$1,262.04	$1,576.82	$2,605.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.04 / $1,396.20 / $2,236.36	Professional		$1,172.04	$1,396.20	$2,236.36