Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $6,165.95	Professional		$2,454.71	$4,466.84	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $12,302.69	Professional		$5,754.40	$5,754.40	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $8,317.64	Facility		$645.65	$645.65	$8,317.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $8,317.64	Professional		$645.65	$645.65	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $4,786.30 / $5,128.61	Professional		$676.08	$4,786.30	$5,128.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,623.41	Professional		$5,248.07	$5,248.07	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,235.94 / $5,623.41	Facility		$354.81	$3,235.94	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $6,456.54	Professional		$2,570.40	$4,168.69	$6,456.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,248.07	Facility		$5,128.61	$5,128.61	$5,248.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,623.41	Professional		$5,248.07	$5,248.07	$5,623.41