Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.63 / $4,881.25 / $8,286.43	Facility		$1,747.63	$4,881.25	$8,286.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,747.63 / $1,747.63	Professional		$1,730.32	$1,747.63	$1,747.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $3,460.64 / $4,585.35	Facility		$1,730.32	$3,460.64	$4,585.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.77 / $1,730.32 / $2,457.05	Professional		$1,470.77	$1,730.32	$2,457.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $2,335.92	Facility		$1,730.32	$1,730.32	$2,335.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,989.87	Professional		$1,730.32	$1,730.32	$1,989.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Facility		$1,730.32	$1,730.32	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.17 / $1,730.32 / $4,448.54	Professional		$1,474.17	$1,730.32	$4,448.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,926.21 / $2,145.60	Professional		$1,730.32	$1,926.21	$2,145.60