Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.83 / $1,354.25 / $4,846.00	Facility		$1,072.83	$1,354.25	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.83 / $1,146.31 / $1,512.69	Professional		$1,072.83	$1,146.31	$1,512.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,044.01 / $15,154.00	Facility		$4,800.00	$11,044.01	$15,154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.79 / $1,552.90 / $2,143.00	Professional		$1,215.79	$1,552.90	$2,143.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,111.33 / $1,568.94 / $2,353.41	Facility		$1,111.33	$1,568.94	$2,353.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,066.88 / $1,307.45 / $1,882.73	Professional		$1,066.88	$1,307.45	$1,882.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.74 / $1,526.94 / $2,484.11	Professional		$1,074.74	$1,526.94	$2,484.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.18 / $1,321.32 / $2,225.60	Professional		$1,106.18	$1,321.32	$2,225.60