Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.54 / $3,500.00 / $17,225.00	Facility		$666.54	$3,500.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.80 / $666.54 / $986.24	Professional		$622.80	$666.54	$986.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,205.00 / $25,750.00	Facility		$2,451.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.11 / $6,145.53 / $15,562.43	Professional		$1,093.11	$6,145.53	$15,562.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,396.76 / $20,951.46 / $33,307.47	Facility		$1,396.76	$20,951.46	$33,307.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,012.83 / $5,012.83 / $5,012.83	Facility		$5,012.83	$5,012.83	$5,012.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,228.07 / $15,562.43 / $15,562.43	Professional		$13,228.07	$15,562.43	$15,562.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.97 / $1,644.68 / $2,427.86	Professional		$1,162.97	$1,644.68	$2,427.86