Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $4,897.79	Facility		$1,445.44	$2,344.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,905.46	Professional		$1,122.02	$1,288.25	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $18,620.87 / $26,302.68	Facility		$9,549.93	$18,620.87	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,290.87	Professional		$1,122.02	$1,445.44	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,479.11	Facility		$1,258.93	$1,288.25	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,630.27	Facility		$1,288.25	$2,041.74	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,884.03	Professional		$1,202.26	$1,513.56	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $13,182.57 / $20,417.38	Facility		$6,309.57	$13,182.57	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,238.72	Professional		$1,096.48	$1,412.54	$2,238.72