Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,066.34 / $4,846.00	Facility		$2,318.00	$3,066.34	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,564.04 / $2,908.11 / $3,898.39	Professional		$2,564.04	$2,908.11	$3,898.39
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 $2,555.28 / $3,410.60 / $4,615.77	Professional		$2,555.28	$3,410.60	$4,615.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,555.28 / $3,321.86 / $3,832.92	Facility		$2,555.28	$3,321.86	$3,832.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,555.28 / $3,066.34 / $3,832.92	Professional		$2,555.28	$3,066.34	$3,832.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $3,301.00	Facility		$761.00	$761.00	$3,301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,758.10 / $3,481.05 / $5,473.56	Professional		$2,758.10	$3,481.05	$5,473.56
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 $2,376.21 / $3,080.74 / $5,314.72	Professional		$2,376.21	$3,080.74	$5,314.72