Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $3,515.43 / $4,113.53	Facility		$1,645.41	$3,515.43	$4,113.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,645.41	Professional		$1,645.41	$1,645.41	$1,645.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,040.32 / $2,263.73 / $3,942.13	Facility		$1,040.32	$2,263.73	$3,942.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $107.60 / $1,365.60	Professional		$102.48	$107.60	$1,365.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,180.17 / $2,982.30 / $3,290.82	Facility		$2,180.17	$2,982.30	$3,290.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,056.76	Professional		$1,748.25	$1,748.25	$2,056.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,125.32	Professional		$1,713.97	$1,713.97	$2,125.32