Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $2,709.95 / $8,129.85	Facility		$0.05	$2,709.95	$8,129.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $2,710.00 / $2,710.00	Professional		$1,355.00	$2,710.00	$2,710.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $8,129.85 / $14,712.32	Facility		$846.27	$8,129.85	$14,712.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $846.27 / $1,140.08	Professional		$100.00	$846.27	$1,140.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $3,522.94 / $3,793.93	Facility		$2,709.95	$3,522.94	$3,793.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $3,251.94 / $4,064.93	Professional		$2,709.95	$3,251.94	$4,064.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.47 / $2,709.95 / $6,040.06	Facility		$1,761.47	$2,709.95	$6,040.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.08 / $2,468.77 / $3,954.81	Professional		$1,117.08	$2,468.77	$3,954.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $2,709.95	Facility		$2,709.95	$2,709.95	$2,709.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,625.97 / $2,978.24	Professional		$1,138.18	$1,625.97	$2,978.24