Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.94 / $1,805.36 / $4,846.00	Facility		$1,538.94	$1,805.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,504.47 / $1,574.73 / $1,923.68	Professional		$1,504.47	$1,574.73	$1,923.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $23,175.52 / $32,252.00	Facility		$5,778.00	$23,175.52	$32,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,414.68 / $1,973.10 / $2,722.87	Professional		$1,414.68	$1,973.10	$2,722.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,498.68 / $1,948.28 / $2,248.02	Facility		$1,498.68	$1,948.28	$2,248.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,498.68 / $1,798.42 / $2,248.02	Professional		$1,498.68	$1,798.42	$2,248.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.67 / $2,083.46 / $3,393.95	Professional		$1,546.67	$2,083.46	$3,393.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,660.00 / $10,926.00	Facility		$2,062.00	$5,660.00	$10,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.40 / $1,814.38 / $3,142.35	Professional		$1,364.40	$1,814.38	$3,142.35