Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.59 / $2,318.00 / $16,042.00	Facility		$877.59	$2,318.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.31 / $919.59 / $1,219.04	Professional		$794.31	$919.59	$1,219.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,322.00 / $12,191.00 / $30,900.00	Facility		$4,322.00	$12,191.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.86 / $1,290.20 / $1,741.77	Professional		$815.86	$1,290.20	$1,741.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.34 / $1,197.33 / $1,796.01	Facility		$872.34	$1,197.33	$1,796.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $855.24 / $1,069.05 / $1,539.44	Professional		$855.24	$1,069.05	$1,539.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,705.12 / $4,705.12 / $5,577.46	Facility		$4,705.12	$4,705.12	$5,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.92 / $1,222.14 / $1,967.84	Professional		$950.92	$1,222.14	$1,967.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,051.00 / $11,452.00 / $17,416.00	Facility		$5,051.00	$11,452.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $779.86 / $1,039.78 / $1,881.50	Professional		$779.86	$1,039.78	$1,881.50