Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.45 / $1,606.55 / $4,846.00	Facility		$1,458.45	$1,606.55	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.19 / $1,597.10 / $2,055.71	Professional		$1,443.19	$1,597.10	$2,055.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $11,305.00 / $30,091.00	Facility		$1,935.00	$11,305.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.17 / $2,118.59 / $2,860.09	Professional		$1,511.17	$2,118.59	$2,860.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,338.79 / $1,740.43 / $2,008.19	Facility		$1,338.79	$1,740.43	$2,008.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,338.79 / $1,606.55 / $2,008.19	Professional		$1,338.79	$1,606.55	$2,008.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,744.15	Facility		$761.00	$761.00	$1,744.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.46 / $2,084.80 / $3,179.56	Professional		$1,453.46	$2,084.80	$3,179.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,076.00 / $10,926.00	Facility		$1,403.00	$5,076.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,408.20 / $1,845.60 / $3,143.40	Professional		$1,408.20	$1,845.60	$3,143.40