Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $6,165.95	Facility		$2,884.03	$2,884.03	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,630.78	Professional		$2,884.03	$2,951.21	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $5,754.40	Facility		$2,754.23	$2,884.03	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,290.87	Professional		$2,187.76	$2,187.76	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,548.82	Facility		$954.99	$954.99	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $954.99	Professional		$812.83	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,754.40 / $5,754.40	Facility		$3,090.30	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $16,218.10 / $16,218.10	Professional		$3,090.30	$16,218.10	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95