Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.28 / $2,263.33 / $4,846.00	Facility		$2,051.28	$2,263.33	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,968.33 / $2,159.29 / $2,891.33	Professional		$1,968.33	$2,159.29	$2,891.33
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 $1,299.99 / $1,529.40 / $2,171.73	Professional		$1,299.99	$1,529.40	$2,171.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,886.11 / $2,451.94 / $2,829.17	Facility		$1,886.11	$2,451.94	$2,829.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,886.11 / $2,263.33 / $2,829.17	Professional		$1,886.11	$2,263.33	$2,829.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,445.40	Facility		$761.00	$761.00	$2,445.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.07 / $2,409.96 / $4,264.70	Professional		$1,728.07	$2,409.96	$4,264.70
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 $1,884.43 / $2,350.08 / $3,897.52	Professional		$1,884.43	$2,350.08	$3,897.52