Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.37 / $2,418.35 / $4,846.00	Facility		$2,194.37	$2,418.35	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.82 / $2,300.17 / $3,093.02	Professional		$2,101.82	$2,300.17	$3,093.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.36 / $1,821.60 / $2,586.67	Professional		$1,548.36	$1,821.60	$2,586.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,015.29 / $2,619.88 / $3,022.94	Facility		$2,015.29	$2,619.88	$3,022.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,015.29 / $2,418.35 / $3,022.94	Professional		$2,015.29	$2,418.35	$3,022.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,605.12	Facility		$761.00	$761.00	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,856.69 / $2,599.73 / $4,590.10	Professional		$1,856.69	$2,599.73	$4,590.10
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,922.25 / $2,505.41 / $4,139.18	Professional		$1,922.25	$2,505.41	$4,139.18