Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $4,039.27 / $4,846.00	Facility		$2,318.00	$4,039.27	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,941.64 / $4,039.27 / $5,327.71	Professional		$3,941.64	$4,039.27	$5,327.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,854.00 / $9,200.00 / $18,942.00	Facility		$1,854.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $3,240.00 / $4,600.80	Professional		$2,754.00	$3,240.00	$4,600.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,964.18 / $5,440.19 / $16,025.40	Facility		$3,964.18	$5,440.19	$16,025.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,886.45 / $4,663.74 / $5,829.68	Professional		$3,886.45	$4,663.74	$5,829.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,635.28 / $4,771.06 / $5,539.37	Professional		$3,635.28	$4,771.06	$5,539.37
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 $3,888.00 / $4,821.12 / $7,787.66	Professional		$3,888.00	$4,821.12	$7,787.66