Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.35 / $1,700.89 / $4,846.00	Facility		$1,444.35	$1,700.89	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.41 / $1,444.35 / $1,805.44	Professional		$1,417.41	$1,444.35	$1,805.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,990.40 / $10,338.00 / $26,304.00	Facility		$1,990.40	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,423.60 / $1,990.40 / $2,746.75	Professional		$1,423.60	$1,990.40	$2,746.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,433.40 / $1,826.88 / $2,107.94	Facility		$1,433.40	$1,826.88	$2,107.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,405.29 / $1,686.35 / $2,107.94	Professional		$1,405.29	$1,686.35	$2,107.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,140.62 / $4,140.62 / $4,140.62	Facility		$4,140.62	$4,140.62	$4,140.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.96 / $2,132.82 / $3,285.68	Professional		$1,529.96	$2,132.82	$3,285.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,418.15 / $1,830.82 / $3,042.38	Professional		$1,418.15	$1,830.82	$3,042.38