Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.54 / $1,386.00 / $7,212.00	Facility		$814.54	$1,386.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.54 / $869.40 / $1,148.49	Professional		$814.54	$869.40	$1,148.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.00 / $6,340.00 / $15,727.00	Facility		$2,796.00	$6,340.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.16 / $1,159.80 / $1,600.52	Professional		$916.16	$1,159.80	$1,600.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.82 / $1,033.40 / $1,192.38	Facility		$810.82	$1,033.40	$1,192.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.92 / $929.90 / $1,192.38	Professional		$794.92	$929.90	$1,192.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,379.37 / $3,379.37 / $3,379.37	Facility		$3,379.37	$3,379.37	$3,379.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.91 / $1,150.80 / $1,828.32	Professional		$817.91	$1,150.80	$1,828.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.45 / $1,001.20 / $1,683.84	Professional		$825.45	$1,001.20	$1,683.84