Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.08 / $1,631.08 / $3,427.30	Facility		$1,631.08	$1,631.08	$3,427.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.08 / $1,673.49 / $1,705.49	Professional		$1,631.08	$1,673.49	$1,705.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,707.57 / $3,067.43 / $3,427.30	Facility		$2,707.57	$3,067.43	$3,427.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,717.09 / $1,838.86 / $2,537.62	Professional		$1,717.09	$1,838.86	$2,537.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,584.36 / $3,770.03 / $5,140.95	Facility		$2,584.36	$3,770.03	$5,140.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,913.21 / $3,770.03 / $4,626.85	Professional		$2,913.21	$3,770.03	$4,626.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $3,427.30	Facility		$2,217.07	$2,217.07	$3,427.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,217.07 / $3,515.75	Professional		$1,618.46	$2,217.07	$3,515.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,018.42 / $2,301.38 / $2,422.51	Facility		$2,018.42	$2,301.38	$2,422.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.29 / $1,709.84 / $2,353.73	Professional		$1,018.29	$1,709.84	$2,353.73