Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.43 / $1,386.00 / $4,846.00	Facility		$928.43	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.37 / $939.11 / $1,262.92	Professional		$879.37	$939.11	$1,262.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.35 / $7,572.00 / $18,942.00	Facility		$1,411.35	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.23 / $1,216.09 / $1,678.21	Professional		$770.23	$1,216.09	$1,678.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.07 / $1,267.67 / $1,901.51	Facility		$962.07	$1,267.67	$1,901.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.48 / $1,131.84 / $1,629.87	Professional		$905.48	$1,131.84	$1,629.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.91 / $1,173.46 / $1,891.51	Professional		$911.91	$1,173.46	$1,891.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.76 / $1,056.99 / $1,934.90	Professional		$798.76	$1,056.99	$1,934.90