Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.05 / $4,580.00 / $17,225.00	Facility		$1,019.05	$4,580.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.58 / $1,019.05 / $1,418.26	Professional		$928.58	$1,019.05	$1,418.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,427.00 / $11,294.00 / $22,813.00	Facility		$4,427.00	$11,294.00	$22,813.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.80 / $1,346.00 / $1,857.48	Professional		$1,076.80	$1,346.00	$1,857.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,062.64 / $1,500.20 / $2,250.30	Facility		$1,062.64	$1,500.20	$2,250.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,020.13 / $1,250.16 / $1,800.24	Professional		$1,020.13	$1,250.16	$1,800.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,909.74 / $3,909.74 / $3,909.74	Facility		$3,909.74	$3,909.74	$3,909.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.66 / $1,416.05 / $2,355.66	Professional		$1,043.66	$1,416.05	$2,355.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.52 / $1,200.16 / $2,165.69	Professional		$1,023.52	$1,200.16	$2,165.69