Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.62 / $1,926.43 / $4,846.00	Facility		$1,840.62	$1,926.43	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.83 / $1,926.43 / $2,485.71	Professional		$1,665.83	$1,926.43	$2,485.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $10,577.42 / $18,643.75	Facility		$5,091.00	$10,577.42	$18,643.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.92 / $1,627.40 / $2,245.81	Professional		$1,301.92	$1,627.40	$2,245.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,589.96 / $2,095.02 / $3,317.28	Facility		$1,589.96	$2,095.02	$3,317.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,571.26 / $1,945.37 / $2,693.60	Professional		$1,571.26	$1,945.37	$2,693.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,688.56 / $2,296.54 / $4,500.35	Professional		$1,688.56	$2,296.54	$4,500.35
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 $1,624.44 / $2,014.31 / $3,265.86	Professional		$1,624.44	$2,014.31	$3,265.86