Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.49 / $4,846.00 / $17,225.00	Facility		$975.49	$4,846.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.58 / $975.49 / $1,371.25	Professional		$911.58	$975.49	$1,371.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,819.00 / $28,558.98	Facility		$2,451.00	$15,819.00	$28,558.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.57 / $938.32 / $938.32	Professional		$797.57	$938.32	$938.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,609.24 / $1,609.24 / $27,331.01	Facility		$1,609.24	$1,609.24	$27,331.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,609.24 / $1,609.24 / $24,138.60	Professional		$1,609.24	$1,609.24	$24,138.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,277.67 / $5,277.67 / $16,100.00	Facility		$5,277.67	$5,277.67	$16,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $414.34 / $2,461.73	Professional		$1.32	$414.34	$2,461.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,206.10 / $1,581.93 / $2,582.38	Professional		$1,206.10	$1,581.93	$2,582.38