Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.70 / $1,623.81 / $4,846.00	Facility		$1,552.70	$1,623.81	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.36 / $1,623.81 / $2,095.23	Professional		$1,449.36	$1,623.81	$2,095.23
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 $1,562.68 / $2,493.23 / $3,365.86	Professional		$1,562.68	$2,493.23	$3,365.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,341.26 / $1,767.30 / $2,840.31	Facility		$1,341.26	$1,767.30	$2,840.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,325.48 / $1,641.07 / $2,272.25	Professional		$1,325.48	$1,641.07	$2,272.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $2,064.21 / $4,294.31	Professional		$1,388.63	$2,064.21	$4,294.31
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 $1,376.84 / $1,866.80 / $2,904.27	Professional		$1,376.84	$1,866.80	$2,904.27