Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.02 / $1,319.74 / $4,846.00	Facility		$1,267.02	$1,319.74	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.30 / $1,319.74 / $1,702.89	Professional		$1,139.30	$1,319.74	$1,702.89
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 $1,216.79 / $2,008.30 / $2,771.45	Professional		$1,216.79	$2,008.30	$2,771.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,050.70 / $1,339.13 / $1,545.15	Facility		$1,050.70	$1,339.13	$1,545.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,081.60 / $1,184.61 / $1,545.15	Professional		$1,081.60	$1,184.61	$1,545.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.74 / $1,772.55 / $3,810.52	Professional		$1,170.74	$1,772.55	$3,810.52
United Facility/Professional Facility Modifier Low / Median / High Price $9,619.00 / $15,196.00 / $21,800.00	Facility		$9,619.00	$15,196.00	$21,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.33 / $1,416.92 / $2,237.14	Professional		$1,131.33	$1,416.92	$2,237.14