Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.74 / $1,177.74 / $1,177.74	Facility		$1,177.74	$1,177.74	$1,177.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.19 / $1,177.74 / $1,340.81	Professional		$942.19	$1,177.74	$1,340.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.94 / $940.94 / $1,816.01	Facility		$940.94	$940.94	$1,816.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $940.94 / $1,294.23	Professional		$813.86	$940.94	$1,294.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.93 / $256.99 / $3,140.94	Facility		$156.93	$256.99	$3,140.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $256.99 / $3,212.33	Professional		$190.36	$256.99	$3,212.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $157.36	Professional		$91.49	$107.63	$157.36
United Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $94.97 / $941.78	Professional		$53.82	$94.97	$941.78