Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.06 / $1,402.97 / $4,846.00	Facility		$1,168.06	$1,402.97	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.06 / $1,261.69 / $1,589.16	Professional		$1,168.06	$1,261.69	$1,589.16
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 $1,289.92 / $1,612.40 / $2,225.11	Professional		$1,289.92	$1,612.40	$2,225.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,163.44 / $1,482.82 / $1,710.95	Facility		$1,163.44	$1,482.82	$1,710.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,140.63 / $1,334.36 / $1,710.95	Professional		$1,140.63	$1,334.36	$1,710.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.23 / $1,634.78 / $2,708.94	Professional		$1,174.23	$1,634.78	$2,708.94
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 $1,178.89 / $1,460.89 / $2,460.40	Professional		$1,178.89	$1,460.89	$2,460.40