Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.23 / $1,386.00 / $4,846.00	Facility		$1,142.23	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.23 / $1,142.23 / $1,300.53	Professional		$1,142.23	$1,142.23	$1,300.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $17,895.78 / $25,253.12	Facility		$5,091.00	$17,895.78	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,199.61 / $1,604.00 / $2,213.52	Professional		$1,199.61	$1,604.00	$2,213.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.65 / $1,658.33 / $2,487.50	Facility		$1,174.65	$1,658.33	$2,487.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.66 / $1,381.94 / $1,989.99	Professional		$1,127.66	$1,381.94	$1,989.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.24 / $1,602.10 / $2,879.06	Professional		$1,256.24	$1,602.10	$2,879.06
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 $993.17 / $1,343.69 / $2,263.64	Professional		$993.17	$1,343.69	$2,263.64