Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.75 / $2,087.75 / $4,386.88	Facility		$2,087.75	$2,087.75	$4,386.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,087.75 / $2,129.51 / $2,183.05	Professional		$2,087.75	$2,129.51	$2,183.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,465.64 / $3,926.26 / $4,386.88	Facility		$3,465.64	$3,926.26	$4,386.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,197.85 / $2,635.75 / $3,558.26	Professional		$2,197.85	$2,635.75	$3,558.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,308.03 / $4,825.57 / $6,580.32	Facility		$3,308.03	$4,825.57	$6,580.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,728.85 / $4,825.57 / $5,922.29	Professional		$3,728.85	$4,825.57	$5,922.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $4,386.88	Facility		$2,448.80	$2,448.80	$4,386.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $4,500.09	Professional		$1,787.62	$2,448.80	$4,500.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.42 / $2,188.57 / $3,012.78	Professional		$1,303.42	$2,188.57	$3,012.78