Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,018.27 / $11,731.40 / $22,582.20	Facility		$5,018.27	$11,731.40	$22,582.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,219.91 / $5,219.91	Professional		$5,168.22	$5,219.91	$5,219.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $10,336.45 / $13,695.81	Facility		$5,168.22	$10,336.45	$13,695.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,392.99 / $5,168.22 / $7,338.88	Professional		$4,392.99	$5,168.22	$7,338.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $5,685.05 / $7,752.35	Facility		$5,168.22	$5,685.05	$7,752.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,685.05 / $5,685.05 / $5,685.05	Professional		$5,685.05	$5,685.05	$5,685.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Facility		$5,168.22	$5,168.22	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,597.02 / $5,168.22 / $13,442.28	Professional		$4,597.02	$5,168.22	$13,442.28
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,739.60	Professional		$5,168.22	$5,168.22	$5,739.60