Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.26 / $1,294.26 / $1,941.39	Facility		$1,294.26	$1,294.26	$1,941.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.30 / $1,294.26 / $1,375.15	Professional		$1,116.30	$1,294.26	$1,375.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.64 / $1,214.70 / $1,751.44	Professional		$574.64	$1,214.70	$1,751.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,208.00 / $1,348.18 / $1,483.00	Facility		$1,208.00	$1,348.18	$1,483.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.18 / $1,348.18 / $1,348.18	Professional		$1,348.18	$1,348.18	$1,348.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,516.10 / $1,516.10	Facility		$1,429.07	$1,516.10	$1,516.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,348.18 / $3,033.41	Facility		$319.00	$1,348.18	$3,033.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.04 / $1,456.04 / $1,847.01	Professional		$1,456.04	$1,456.04	$1,847.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,516.10 / $1,516.10	Facility		$597.00	$1,516.10	$1,516.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,299.14 / $1,429.07 / $2,692.55	Professional		$1,299.14	$1,429.07	$2,692.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $2,007.45	Professional		$1,388.63	$1,388.63	$2,007.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.03 / $489.03 / $489.03	Facility		$489.03	$489.03	$489.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.03 / $489.03 / $610.15	Professional		$489.03	$489.03	$610.15