Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.46 / $5,002.39 / $5,002.39	Facility		$573.46	$5,002.39	$5,002.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $573.46 / $698.10	Professional		$573.46	$573.46	$698.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.65 / $1,100.89 / $5,002.39	Facility		$800.65	$1,100.89	$5,002.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.80 / $582.25 / $803.50	Professional		$465.80	$582.25	$803.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $975.33 / $975.33 / $1,192.08	Facility		$975.33	$975.33	$1,192.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,024.09 / $1,170.40 / $1,316.70	Professional		$1,024.09	$1,170.40	$1,316.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,002.39 / $5,002.39 / $5,002.39	Facility		$5,002.39	$5,002.39	$5,002.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.00 / $727.00 / $727.00	Professional		$727.00	$727.00	$727.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.37 / $566.11 / $609.71	Professional		$352.37	$566.11	$609.71