Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $2,337.65 / $7,012.95	Facility		$0.05	$2,337.65	$7,012.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,688.30 / $7,012.95	Professional		$2,337.65	$2,688.30	$7,012.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $7,012.95 / $12,691.10	Facility		$423.14	$7,012.95	$12,691.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $423.14 / $570.04	Professional		$50.00	$423.14	$570.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $3,038.95 / $3,272.71	Facility		$2,337.65	$3,038.95	$3,272.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,805.18 / $3,506.48	Professional		$2,337.65	$2,805.18	$3,506.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,519.47 / $2,337.65 / $5,210.25	Facility		$1,519.47	$2,337.65	$5,210.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $2,129.50 / $3,411.41	Professional		$558.54	$2,129.50	$3,411.41
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $1,402.59 / $2,569.08	Professional		$981.81	$1,402.59	$2,569.08