Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.93 / $1,528.93 / $3,212.66	Facility		$1,528.93	$1,528.93	$3,212.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.68 / $1,528.93 / $1,590.09	Professional		$1,212.68	$1,528.93	$1,590.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,538.00 / $2,875.33 / $3,212.66	Facility		$2,538.00	$2,875.33	$3,212.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,471.56 / $1,484.70 / $2,048.88	Professional		$1,471.56	$1,484.70	$2,048.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,088.23 / $3,373.29 / $4,497.72	Facility		$2,088.23	$3,373.29	$4,497.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,730.76 / $3,533.93 / $4,337.09	Professional		$2,730.76	$3,533.93	$4,337.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,212.66	Facility		$1,787.17	$1,787.17	$3,212.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $3,295.57	Professional		$1,304.63	$1,304.63	$3,295.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $814.90 / $1,602.76 / $2,146.60	Professional		$814.90	$1,602.76	$2,146.60