Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $9,772.37	Facility		$4,897.79	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,370.32	Professional		$4,897.79	$4,897.79	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,754.40 / $9,332.54	Facility		$5,623.41	$5,754.40	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $4,897.79	Professional		$3,715.35	$4,897.79	$4,897.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,659.59	Facility		$1,047.13	$1,047.13	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,479.11	Professional		$1,047.13	$1,096.48	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,897.79	Facility		$1,584.89	$1,584.89	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79