Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,651.83 / $14,063.00	Facility		$1,386.00	$2,651.83	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,556.25 / $1,712.27 / $2,119.96	Professional		$1,556.25	$1,712.27	$2,119.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.00 / $9,888.00 / $26,304.00	Facility		$1,805.00	$9,888.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,373.29 / $1,615.64 / $2,229.58	Professional		$1,373.29	$1,615.64	$2,229.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,600.51 / $2,039.87 / $2,353.69	Facility		$1,600.51	$2,039.87	$2,353.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,569.13 / $1,882.96 / $2,353.69	Professional		$1,569.13	$1,882.96	$2,353.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.10 / $2,196.78 / $3,559.41	Professional		$1,627.10	$2,196.78	$3,559.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.50 / $2,024.93 / $3,268.90	Professional		$1,547.50	$2,024.93	$3,268.90