Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.71 / $757.31 / $4,846.00	Facility		$605.71	$757.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.71 / $646.07 / $854.05	Professional		$605.71	$646.07	$854.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.40 / $890.60 / $1,229.02	Professional		$678.40	$890.60	$1,229.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $769.64 / $888.05	Facility		$603.87	$769.64	$888.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.03 / $710.44 / $888.05	Professional		$592.03	$710.44	$888.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.07 / $828.55 / $1,409.94	Professional		$646.07	$828.55	$1,409.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.50 / $779.80 / $1,275.86	Professional		$622.50	$779.80	$1,275.86