Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,846.00 / $17,225.00	Facility		$1,628.00	$4,846.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $308.25 / $308.25	Professional		$308.25	$308.25	$308.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $12,084.25 / $19,451.00	Facility		$2,318.00	$12,084.25	$19,451.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $338.40 / $466.99	Professional		$243.28	$338.40	$466.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.39 / $345.90 / $412.42	Facility		$271.39	$345.90	$412.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $319.30 / $399.12	Professional		$279.38	$319.30	$399.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,100.00 / $16,100.00 / $16,100.00	Facility		$16,100.00	$16,100.00	$16,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.51 / $372.51 / $372.51	Professional		$372.51	$372.51	$372.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,113.00 / $15,750.00	Facility		$4,699.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.24 / $363.78 / $592.99	Professional		$283.24	$363.78	$592.99