Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,575.73 / $4,846.00	Facility		$2,318.00	$2,575.73	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,241.81 / $2,575.73 / $3,323.52	Professional		$2,241.81	$2,575.73	$3,323.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,205.00 / $25,750.00	Facility		$2,451.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,283.35 / $3,326.60 / $4,590.70	Professional		$2,283.35	$3,326.60	$4,590.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,038.36 / $2,597.91 / $2,997.59	Facility		$2,038.36	$2,597.91	$2,997.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,098.31 / $2,398.07 / $2,997.59	Professional		$2,098.31	$2,398.07	$2,997.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,181.96 / $3,013.58 / $8,347.20	Professional		$2,181.96	$3,013.58	$8,347.20
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 $2,128.62 / $2,660.78 / $4,290.26	Professional		$2,128.62	$2,660.78	$4,290.26