Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.47 / $1,862.55 / $4,846.00	Facility		$1,779.47	$1,862.55	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.25 / $1,862.55 / $2,403.29	Professional		$1,634.25	$1,862.55	$2,403.29
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 $1,609.60 / $2,012.00 / $2,776.56	Professional		$1,609.60	$2,012.00	$2,776.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,537.14 / $2,025.41 / $3,255.12	Facility		$1,537.14	$2,025.41	$3,255.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,880.74 / $2,604.09	Professional		$1,519.06	$1,880.74	$2,604.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.26 / $2,426.69 / $4,801.08	Professional		$1,652.26	$2,426.69	$4,801.08
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 $1,579.90 / $2,144.15 / $3,254.10	Professional		$1,579.90	$2,144.15	$3,254.10