Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.08 / $2,321.98 / $2,556.33	Professional		$2,176.08	$2,321.98	$2,556.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.52 / $1,644.00 / $3,500.00	Facility		$837.52	$1,644.00	$3,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.10 / $1,275.00 / $1,721.25	Professional		$201.10	$1,275.00	$1,721.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,065.57 / $1,278.68 / $1,598.36	Facility		$1,065.57	$1,278.68	$1,598.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $926.63 / $1,278.68 / $1,598.36	Professional		$926.63	$1,278.68	$1,598.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $916.80 / $1,161.24 / $11,989.21	Facility		$916.80	$1,161.24	$11,989.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.51 / $1,901.90 / $1,901.90	Professional		$1,461.51	$1,901.90	$1,901.90
United Facility/Professional Professional Modifier Low / Median / High Price $812.48 / $1,119.03 / $1,689.72	Professional		$812.48	$1,119.03	$1,689.72