Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.38 / $1,346.00 / $4,846.00	Facility		$1,290.38	$1,346.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.73 / $1,342.84 / $1,732.70	Professional		$1,104.73	$1,342.84	$1,732.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,008.30 / $15,205.00 / $25,750.00	Facility		$2,008.30	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.09 / $2,008.30 / $2,771.45	Professional		$1,197.09	$2,008.30	$2,771.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,070.07 / $1,363.82 / $1,573.64	Facility		$1,070.07	$1,363.82	$1,573.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.54 / $1,258.91 / $1,573.64	Professional		$1,101.54	$1,258.91	$1,573.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.23 / $1,797.98 / $3,206.13	Professional		$1,191.23	$1,797.98	$3,206.13
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 $1,123.69 / $1,437.46 / $2,337.28	Professional		$1,123.69	$1,437.46	$2,337.28