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 $2,755.21 / $3,082.37 / $4,112.60	Professional		$2,755.21	$3,082.37	$4,112.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,674.99 / $4,157.70 / $5,737.62	Professional		$2,674.99	$4,157.70	$5,737.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,997.57 / $4,114.31 / $6,171.47	Facility		$2,997.57	$4,114.31	$6,171.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,938.79 / $3,673.49 / $5,289.83	Professional		$2,938.79	$3,673.49	$5,289.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,202.69 / $4,077.90 / $6,685.90	Professional		$3,202.69	$4,077.90	$6,685.90
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 $2,659.26 / $3,603.00 / $6,538.81	Professional		$2,659.26	$3,603.00	$6,538.81