Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,691.53 / $4,897.79	Facility		$602.56	$2,691.53	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $4,365.16	Professional		$1,737.80	$2,041.74	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $25,703.96 / $35,481.34	Facility		$10,232.93	$25,703.96	$35,481.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $4,466.84	Professional		$1,778.28	$2,884.03	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $1,949.84	Facility		$1,659.59	$1,819.70	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $5,370.32	Professional		$1,778.28	$2,630.27	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,548.13	Professional		$1,621.81	$2,187.76	$3,548.13