Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.49 / $1,567.49 / $3,293.69	Facility		$1,567.49	$1,567.49	$3,293.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.54 / $1,567.49 / $1,630.19	Professional		$1,429.54	$1,567.49	$1,630.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,602.02 / $2,947.85 / $3,293.69	Facility		$2,602.02	$2,947.85	$3,293.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.15 / $1,696.36 / $2,340.96	Professional		$1,650.15	$1,696.36	$2,340.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,455.05 / $3,610.36 / $4,611.17	Facility		$2,455.05	$3,610.36	$4,611.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,799.64 / $3,623.06 / $4,446.47	Professional		$2,799.64	$3,623.06	$4,446.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $3,293.69	Facility		$1,743.07	$1,743.07	$3,293.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $3,378.69	Professional		$1,272.44	$1,272.44	$3,378.69
United Facility/Professional Professional Modifier Low / Median / High Price $927.78 / $1,643.18 / $2,200.75	Professional		$927.78	$1,643.18	$2,200.75