Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.49 / $2,318.00 / $16,042.00	Facility		$961.49	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.29 / $961.49 / $1,298.01	Professional		$852.29	$961.49	$1,298.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $8,240.00 / $28,794.00	Facility		$2,020.00	$8,240.00	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,291.20 / $1,781.85	Professional		$876.00	$1,291.20	$1,781.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $930.94 / $1,210.22 / $1,396.41	Facility		$930.94	$1,210.22	$1,396.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $930.94 / $1,117.13 / $1,396.41	Professional		$930.94	$1,117.13	$1,396.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $4,634.62	Facility		$3,909.74	$3,909.74	$4,634.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.83 / $1,271.52 / $2,068.66	Professional		$1,042.83	$1,271.52	$2,068.66
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 $860.00 / $1,117.13 / $2,025.28	Professional		$860.00	$1,117.13	$2,025.28