Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $4,846.00	Facility		$1,987.50	$1,987.50	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $2,332.00	Professional		$1,987.50	$1,987.50	$2,332.00
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 $3,213.00 / $3,780.00 / $5,216.39	Professional		$3,213.00	$3,780.00	$5,216.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,911.64 / $4,911.64 / $6,366.94	Facility		$4,911.64	$4,911.64	$6,366.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,911.64 / $5,893.97 / $7,367.46	Professional		$4,911.64	$5,893.97	$7,367.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $761.00	Facility		$761.00	$761.00	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $2,545.91 / $7,656.96	Professional		$385.00	$2,545.91	$7,656.96
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 $4,179.39 / $4,179.39 / $4,179.39	Professional		$4,179.39	$4,179.39	$4,179.39