Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $2,602.44 / $4,846.00	Facility		$2,318.00	$2,602.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,263.67 / $2,460.60 / $3,317.39	Professional		$2,263.67	$2,460.60	$3,317.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,021.92 / $2,527.40 / $3,487.81	Professional		$2,021.92	$2,527.40	$3,487.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,168.69 / $2,819.31 / $3,253.05	Facility		$2,168.69	$2,819.31	$3,253.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,168.69 / $2,602.44 / $3,253.05	Professional		$2,168.69	$2,602.44	$3,253.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,810.59	Facility		$761.00	$761.00	$2,810.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,127.57 / $2,772.60 / $4,873.47	Professional		$2,127.57	$2,772.60	$4,873.47
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 $2,097.30 / $2,692.45 / $4,721.45	Professional		$2,097.30	$2,692.45	$4,721.45