Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,897.79	Facility		$1,548.82	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,754.23	Professional		$1,318.26	$1,548.82	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,290.87	Professional		$1,071.52	$1,412.54	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,584.89	Facility		$1,348.96	$1,412.54	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,754.23	Facility		$1,445.44	$2,089.30	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,884.03	Professional		$1,071.52	$1,737.80	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,623.41 / $12,022.64	Facility		$1,023.29	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,398.83	Professional		$1,174.90	$1,584.89	$2,398.83