Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.50 / $1,549.62 / $4,846.00	Facility		$1,486.50	$1,549.62	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.01 / $1,549.62 / $1,847.10	Professional		$1,249.01	$1,549.62	$1,847.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,374.10 / $15,205.00 / $25,750.00	Facility		$2,374.10	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.52 / $2,374.10 / $3,276.25	Professional		$1,428.52	$2,374.10	$3,276.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,232.71 / $1,571.10 / $1,812.81	Facility		$1,232.71	$1,571.10	$1,812.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,268.97 / $1,450.25 / $1,812.81	Professional		$1,268.97	$1,450.25	$1,812.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.66 / $2,040.07 / $4,082.70	Professional		$1,374.66	$2,040.07	$4,082.70
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 $1,301.18 / $1,692.61 / $2,632.35	Professional		$1,301.18	$1,692.61	$2,632.35