Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.76 / $1,399.93 / $4,846.00	Facility		$1,166.76	$1,399.93	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.60 / $1,166.76 / $1,555.67	Professional		$1,166.60	$1,166.76	$1,555.67
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 $1,167.72 / $1,459.66 / $2,072.71	Professional		$1,167.72	$1,459.66	$2,072.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,105.34 / $1,408.78 / $1,625.52	Facility		$1,105.34	$1,408.78	$1,625.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,083.68 / $1,300.42 / $1,625.52	Professional		$1,083.68	$1,300.42	$1,625.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.56 / $1,514.85 / $2,691.24	Professional		$1,129.56	$1,514.85	$2,691.24
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 $1,156.72 / $1,436.70 / $2,340.63	Professional		$1,156.72	$1,436.70	$2,340.63