Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,500.00 / $5,000.60	Facility		$2,318.00	$3,500.00	$5,000.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.82 / $3,409.32 / $4,507.01	Professional		$3,019.82	$3,409.32	$4,507.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $16,821.03 / $25,253.12	Facility		$4,838.00	$16,821.03	$25,253.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,107.52 / $2,634.40 / $3,740.84	Professional		$2,107.52	$2,634.40	$3,740.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,958.94 / $3,846.62 / $4,438.41	Facility		$2,958.94	$3,846.62	$4,438.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,958.94 / $3,550.73 / $4,438.41	Professional		$2,958.94	$3,550.73	$4,438.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,904.99	Facility		$761.00	$761.00	$3,904.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,617.14 / $3,595.44 / $5,731.45	Professional		$2,617.14	$3,595.44	$5,731.45
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,564.64 / $3,448.92 / $6,053.61	Professional		$2,564.64	$3,448.92	$6,053.61