Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.47 / $1,957.64 / $4,846.00	Facility		$1,669.47	$1,957.64	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.37 / $1,669.47 / $2,095.79	Professional		$1,631.37	$1,669.47	$2,095.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.37 / $12,775.00 / $30,091.00	Facility		$2,084.37	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,667.49 / $2,084.37 / $2,876.43	Professional		$1,667.49	$2,084.37	$2,876.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,564.00 / $1,993.33 / $2,300.00	Facility		$1,564.00	$1,993.33	$2,300.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,533.33 / $1,759.50 / $2,300.00	Professional		$1,533.33	$1,759.50	$2,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.49 / $2,375.19 / $3,641.58	Professional		$1,665.49	$2,375.19	$3,641.58
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 $1,661.55 / $2,185.48 / $3,456.02	Professional		$1,661.55	$2,185.48	$3,456.02