Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,425.85 / $2,425.85 / $5,097.31	Facility		$2,425.85	$2,425.85	$5,097.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,092.64 / $2,425.85 / $2,522.88	Professional		$2,092.64	$2,425.85	$2,522.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,026.87 / $4,562.09 / $5,097.31	Facility		$4,026.87	$4,562.09	$5,097.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,296.10 / $2,335.56 / $3,223.07	Professional		$2,296.10	$2,335.56	$3,223.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,593.83 / $5,352.18 / $7,136.23	Facility		$3,593.83	$5,352.18	$7,136.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,332.71 / $5,607.04 / $6,881.37	Professional		$4,332.71	$5,607.04	$6,881.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $5,097.31	Facility		$3,297.39	$3,297.39	$5,097.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $3,297.39 / $4,463.39	Professional		$2,407.09	$3,297.39	$4,463.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.50 / $2,520.31 / $3,256.06	Professional		$1,271.50	$2,520.31	$3,256.06