Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $3,500.00 / $14,063.00	Facility		$1,386.00	$3,500.00	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.53 / $2,427.58 / $3,277.23	Professional		$2,176.53	$2,427.58	$3,277.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $17,380.30 / $25,253.12	Facility		$4,838.00	$17,380.30	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,364.35 / $3,519.40 / $4,751.18	Professional		$2,364.35	$3,519.40	$4,751.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,333.01 / $3,032.91 / $3,499.52	Facility		$2,333.01	$3,032.91	$3,499.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,333.01 / $2,799.61 / $3,499.52	Professional		$2,333.01	$2,799.61	$3,499.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,552.67 / $3,396.22 / $5,365.92	Professional		$2,552.67	$3,396.22	$5,365.92
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 $2,118.25 / $2,933.31 / $5,220.31	Professional		$2,118.25	$2,933.31	$5,220.31