Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,817.60 / $13,323.50 / $26,179.20	Facility		$5,817.60	$13,323.50	$26,179.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $5,817.60 / $6,181.20	Professional		$5,817.60	$5,817.60	$6,181.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,110.63 / $6,969.00 / $13,938.00	Facility		$2,110.63	$6,969.00	$13,938.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,110.63 / $2,110.63 / $3,903.91	Professional		$2,110.63	$2,110.63	$3,903.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.98 / $729.93 / $7,708.32	Facility		$646.98	$729.93	$7,708.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $663.57 / $729.93 / $7,708.32	Professional		$663.57	$729.93	$7,708.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Facility		$6,181.20	$6,181.20	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,756.54 / $6,181.20 / $6,181.20	Professional		$2,756.54	$6,181.20	$6,181.20
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,423.60 / $7,272.00	Professional		$6,060.00	$6,423.60	$7,272.00