Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.47 / $2,257.16 / $4,846.00	Facility		$1,905.47	$2,257.16	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.97 / $1,905.47 / $2,381.83	Professional		$1,880.97	$1,905.47	$2,381.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,881.00 / $23,381.41 / $33,555.00	Facility		$7,881.00	$23,381.41	$33,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,792.00 / $2,269.00 / $3,131.22	Professional		$1,792.00	$2,269.00	$3,131.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,889.01 / $2,407.56 / $2,777.96	Facility		$1,889.01	$2,407.56	$2,777.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,851.97 / $2,222.36 / $2,777.96	Professional		$1,851.97	$2,222.36	$2,777.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.12 / $2,490.57 / $4,354.35	Professional		$1,903.12	$2,490.57	$4,354.35
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 $1,833.84 / $2,308.02 / $3,915.89	Professional		$1,833.84	$2,308.02	$3,915.89