Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.30 / $1,357.54 / $4,846.00	Facility		$1,075.30	$1,357.54	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.30 / $1,161.91 / $1,464.62	Professional		$1,075.30	$1,161.91	$1,464.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,580.56 / $24,062.10	Facility		$5,091.00	$15,580.56	$24,062.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.48 / $1,535.50 / $2,118.98	Professional		$1,213.48	$1,535.50	$2,118.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,113.69 / $1,572.27 / $2,358.41	Facility		$1,113.69	$1,572.27	$2,358.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,100.58 / $1,362.63 / $1,886.73	Professional		$1,100.58	$1,362.63	$1,886.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.83 / $1,523.69 / $2,489.37	Professional		$1,077.83	$1,523.69	$2,489.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.60 / $1,352.74 / $2,265.01	Professional		$1,109.60	$1,352.74	$2,265.01