Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,760.84 / $4,846.00	Facility		$2,318.00	$2,760.84	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,548.88 / $2,760.84 / $3,418.19	Professional		$2,548.88	$2,760.84	$3,418.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $17,895.78 / $25,253.12	Facility		$5,091.00	$17,895.78	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,142.80 / $2,678.50 / $3,696.33	Professional		$2,142.80	$2,678.50	$3,696.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,568.54 / $3,273.63 / $3,777.27	Facility		$2,568.54	$3,273.63	$3,777.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,518.17 / $3,021.82 / $3,777.27	Professional		$2,518.17	$3,021.82	$3,777.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,177.73 / $3,272.69 / $5,826.78	Professional		$2,177.73	$3,272.69	$5,826.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,314.05 / $3,184.70 / $4,992.97	Professional		$2,314.05	$3,184.70	$4,992.97