Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.06 / $2,453.00 / $16,042.00	Facility		$1,132.06	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.29 / $1,132.06 / $1,575.55	Professional		$1,035.29	$1,132.06	$1,575.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.00 / $10,700.00 / $17,513.00	Facility		$3,719.00	$10,700.00	$17,513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.53 / $1,542.10 / $2,128.09	Professional		$1,157.53	$1,542.10	$2,128.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $1,670.12 / $2,505.17	Facility		$1,183.00	$1,670.12	$2,505.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,135.68 / $1,391.76 / $2,004.14	Professional		$1,135.68	$1,391.76	$2,004.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.45 / $1,554.87 / $2,644.30	Professional		$1,178.45	$1,554.87	$2,644.30
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 $1,056.19 / $1,383.03 / $2,458.32	Professional		$1,056.19	$1,383.03	$2,458.32