Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.07 / $4,959.50 / $9,328.82	Facility		$2,073.07	$4,959.50	$9,328.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,073.07 / $2,073.07	Professional		$2,073.07	$2,073.07	$2,073.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,982.83 / $4,318.89 / $5,331.60	Facility		$1,982.83	$4,318.89	$5,331.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.00 / $681.00 / $1,697.49	Professional		$681.00	$681.00	$1,697.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.23 / $519.23 / $675.00	Facility		$519.23	$519.23	$675.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $506.25 / $519.23 / $830.77	Professional		$506.25	$519.23	$830.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,919.97 / $2,202.64 / $5,796.42	Professional		$1,919.97	$2,202.64	$5,796.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,884.59	Professional		$2,159.44	$2,159.44	$2,884.59