Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.65 / $918.70 / $1,775.92	Facility		$394.65	$918.70	$1,775.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $395.98 / $395.98	Professional		$392.06	$395.98	$395.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $784.12 / $1,038.96	Facility		$392.06	$784.12	$1,038.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $392.06 / $556.72	Professional		$333.25	$392.06	$556.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $392.06 / $588.09	Facility		$392.06	$392.06	$588.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $490.08	Professional		$392.06	$392.06	$490.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Facility		$392.06	$392.06	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $392.06 / $1,052.67	Professional		$355.52	$392.06	$1,052.67
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $486.15	Professional		$392.06	$392.06	$486.15