Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $3,864.00	Facility		$3,864.00	$3,864.00	$3,864.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $3,912.30	Professional		$3,864.00	$3,864.00	$3,912.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $5,728.24	Facility		$2,968.00	$2,968.00	$5,728.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $4,214.56	Professional		$2,968.00	$2,968.00	$4,214.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $66.51 / $103.10	Facility		$64.41	$66.51	$103.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $66.51 / $79.81	Professional		$66.51	$66.51	$79.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,498.20	Professional		$4,200.00	$4,200.00	$4,498.20