Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.58 / $1,386.00 / $4,846.00	Facility		$1,303.58	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.08 / $1,465.56 / $2,659.27	Professional		$1,218.08	$1,465.56	$2,659.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.10 / $16,700.00 / $33,821.32	Facility		$2,705.10	$16,700.00	$33,821.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $499.00 / $708.58	Professional		$424.15	$499.00	$708.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,326.85 / $3,519.59 / $43,749.56	Facility		$2,326.85	$3,519.59	$43,749.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,824.97 / $3,128.52 / $3,258.89	Professional		$1,824.97	$3,128.52	$3,258.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,151.14 / $6,151.14 / $7,291.57	Facility		$6,151.14	$6,151.14	$7,291.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.88 / $658.68 / $658.68	Professional		$559.88	$658.68	$658.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.16 / $1,267.97 / $2,743.43	Professional		$494.16	$1,267.97	$2,743.43