Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.17 / $1,386.00 / $4,846.00	Facility		$1,316.17	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.21 / $1,376.99 / $1,776.76	Professional		$1,206.21	$1,376.99	$1,776.76
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 $1,350.00 / $1,687.50 / $2,328.75	Professional		$1,350.00	$1,687.50	$2,328.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,091.46 / $1,391.08 / $1,616.07	Facility		$1,091.46	$1,391.08	$1,616.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,123.56 / $1,284.07 / $1,605.09	Professional		$1,123.56	$1,284.07	$1,605.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.75 / $1,769.12 / $4,426.28	Professional		$1,223.75	$1,769.12	$4,426.28
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 $1,164.08 / $1,580.27 / $2,421.29	Professional		$1,164.08	$1,580.27	$2,421.29