Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.90 / $2,019.91 / $4,846.00	Facility		$1,690.90	$2,019.91	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,690.90 / $1,802.79 / $2,384.17	Professional		$1,690.90	$1,802.79	$2,384.17
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 $1,917.56 / $2,435.00 / $3,360.30	Professional		$1,917.56	$2,435.00	$3,360.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,675.04 / $2,134.86 / $2,463.30	Facility		$1,675.04	$2,134.86	$2,463.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,642.20 / $1,884.42 / $2,463.30	Professional		$1,642.20	$1,884.42	$2,463.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.67 / $2,406.01 / $3,981.96	Professional		$1,692.67	$2,406.01	$3,981.96
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 $1,681.59 / $2,096.80 / $3,518.06	Professional		$1,681.59	$2,096.80	$3,518.06