Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.07 / $2,010.83 / $4,846.00	Facility		$1,826.07	$2,010.83	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.71 / $1,855.80 / $2,573.89	Professional		$1,712.71	$1,855.80	$2,573.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $8,980.45 / $14,278.45	Facility		$4,600.00	$8,980.45	$14,278.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,607.36 / $2,009.20 / $2,772.69	Professional		$1,607.36	$2,009.20	$2,772.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,675.69 / $2,178.40 / $2,513.54	Facility		$1,675.69	$2,178.40	$2,513.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,675.69 / $1,968.57 / $2,513.54	Professional		$1,675.69	$1,968.57	$2,513.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,108.35	Facility		$761.00	$761.00	$2,108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.08 / $2,257.27 / $3,874.20	Professional		$1,788.08	$2,257.27	$3,874.20
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 $1,648.16 / $2,152.06 / $3,584.04	Professional		$1,648.16	$2,152.06	$3,584.04