Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.72 / $1,386.00 / $11,093.00	Facility		$1,224.72	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.94 / $1,283.38 / $1,726.28	Professional		$1,177.94	$1,283.38	$1,726.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,531.00 / $18,682.34 / $27,646.96	Facility		$5,531.00	$18,682.34	$27,646.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.72 / $1,284.65 / $1,772.81	Professional		$1,027.72	$1,284.65	$1,772.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,129.61 / $1,468.51 / $1,694.43	Facility		$1,129.61	$1,468.51	$1,694.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,129.61 / $1,355.54 / $1,694.43	Professional		$1,129.61	$1,355.54	$1,694.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,455.76	Facility		$761.00	$761.00	$1,455.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.33 / $1,507.24 / $2,538.78	Professional		$1,186.33	$1,507.24	$2,538.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,029.00 / $8,628.00 / $12,569.00	Facility		$2,029.00	$8,628.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.59 / $1,393.73 / $2,295.08	Professional		$1,076.59	$1,393.73	$2,295.08