Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.78 / $1,878.07 / $4,846.00	Facility		$1,794.78	$1,878.07	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,647.63 / $1,878.07 / $2,423.31	Professional		$1,647.63	$1,878.07	$2,423.31
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 $1,618.96 / $2,023.70 / $2,792.70	Professional		$1,618.96	$2,023.70	$2,792.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,550.36 / $2,042.84 / $3,283.14	Facility		$1,550.36	$2,042.84	$3,283.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,532.13 / $1,896.92 / $2,626.50	Professional		$1,532.13	$1,896.92	$2,626.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.03 / $2,458.31 / $4,874.25	Professional		$1,666.03	$2,458.31	$4,874.25
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 $1,593.29 / $2,111.15 / $3,281.46	Professional		$1,593.29	$2,111.15	$3,281.46