Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $4,897.79	Facility		$1,698.24	$2,398.83	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,019.95	Professional		$1,479.11	$1,737.80	$3,019.95
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 $1,288.25 / $1,621.81 / $2,570.40	Professional		$1,288.25	$1,621.81	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,819.70	Facility		$1,548.82	$1,621.81	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,818.38 / $2,818.38	Facility		$758.58	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,311.31	Professional		$1,318.26	$2,041.74	$3,311.31
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 $1,348.96 / $1,737.80 / $2,691.53	Professional		$1,348.96	$1,737.80	$2,691.53