Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.27 / $1,386.00 / $4,846.00	Facility		$1,043.27	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.55 / $1,087.58 / $1,372.96	Professional		$1,005.55	$1,087.58	$1,372.96
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 $927.67 / $1,436.10 / $1,981.81	Professional		$927.67	$1,436.10	$1,981.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.48 / $1,398.12 / $1,613.22	Facility		$1,075.48	$1,398.12	$1,613.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,075.48 / $1,188.41 / $1,613.22	Professional		$1,075.48	$1,188.41	$1,613.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.42 / $1,476.12 / $2,322.17	Professional		$1,053.42	$1,476.12	$2,322.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,475.00 / $14,307.00 / $19,962.00	Facility		$6,475.00	$14,307.00	$19,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.68 / $1,254.76 / $2,150.11	Professional		$912.68	$1,254.76	$2,150.11