Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,047.10 / $2,047.10 / $4,301.46	Facility		$2,047.10	$2,047.10	$4,301.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.84 / $2,047.10 / $2,128.98	Professional		$1,733.84	$2,047.10	$2,128.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,398.15 / $3,849.81 / $4,301.46	Facility		$3,398.15	$3,849.81	$4,301.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.55 / $2,072.57 / $2,860.14	Professional		$2,037.55	$2,072.57	$2,860.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,977.63 / $4,516.53 / $6,022.04	Facility		$2,977.63	$4,516.53	$6,022.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,656.24 / $4,731.60 / $5,806.97	Professional		$3,656.24	$4,731.60	$5,806.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $4,301.46	Facility		$2,782.58	$2,782.58	$4,301.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $4,412.45	Professional		$2,031.28	$2,031.28	$4,412.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.32 / $2,131.15 / $2,844.68	Professional		$1,128.32	$2,131.15	$2,844.68