Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,181.73 / $4,846.00	Facility		$2,091.14	$2,181.73	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.77 / $2,181.73 / $2,815.15	Professional		$1,889.77	$2,181.73	$2,815.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $15,205.00 / $25,750.00	Facility		$2,451.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,989.16 / $3,031.60 / $4,183.60	Professional		$1,989.16	$3,031.60	$4,183.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,734.11 / $2,210.14 / $2,550.17	Facility		$1,734.11	$2,210.14	$2,550.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,734.11 / $2,040.13 / $2,550.17	Professional		$1,734.11	$2,040.13	$2,550.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,895.39 / $2,909.62 / $7,149.30	Professional		$1,895.39	$2,909.62	$7,149.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,835.65 / $2,353.64 / $3,706.15	Professional		$1,835.65	$2,353.64	$3,706.15