Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.74 / $1,386.00 / $16,042.00	Facility		$894.74	$1,386.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.96 / $894.74 / $1,065.16	Professional		$795.96	$894.74	$1,065.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.03 / $1,176.73 / $1,623.88	Professional		$913.03	$1,176.73	$1,623.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.38 / $1,596.18 / $1,964.52	Facility		$1,252.38	$1,596.18	$1,964.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.01 / $1,473.39 / $1,534.79	Professional		$1,148.01	$1,473.39	$1,534.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.34 / $1,142.84 / $1,944.71	Professional		$937.34	$1,142.84	$1,944.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.32 / $1,025.98 / $1,748.98	Professional		$860.32	$1,025.98	$1,748.98