Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.87 / $3,000.00 / $11,093.00	Facility		$507.87	$3,000.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $507.87 / $698.63	Professional		$468.54	$507.87	$698.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.00 / $7,890.00 / $30,900.00	Facility		$3,473.00	$7,890.00	$30,900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.68 / $786.00 / $1,084.31	Professional		$460.68	$786.00	$1,084.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $506.92 / $695.77 / $1,043.66	Facility		$506.92	$695.77	$1,043.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $496.98 / $621.23 / $894.57	Professional		$496.98	$621.23	$894.57
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 $538.63 / $687.52 / $1,143.05	Professional		$538.63	$687.52	$1,143.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.15 / $592.95 / $1,078.14	Professional		$440.15	$592.95	$1,078.14