Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.16 / $948.16 / $1,422.24	Facility		$948.16	$948.16	$1,422.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.79 / $948.16 / $1,180.46	Professional		$817.79	$948.16	$1,180.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.54 / $837.54 / $1,046.93	Facility		$837.54	$837.54	$1,046.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,125.94 / $2,162.96	Professional		$1,046.93	$1,125.94	$2,162.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $987.67 / $987.67 / $1,086.44	Facility		$987.67	$987.67	$1,086.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $987.67 / $987.67 / $987.67	Professional		$987.67	$987.67	$987.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,110.69 / $1,110.69	Facility		$1,046.93	$1,110.69	$1,110.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,135.82 / $2,222.26	Facility		$319.00	$1,135.82	$2,222.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $1,353.11	Professional		$1,007.42	$1,007.42	$1,353.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,110.69 / $1,110.69	Facility		$597.00	$1,110.69	$1,110.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,256.09	Professional		$1,046.93	$1,046.93	$1,256.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,599.83	Professional		$1,185.20	$1,185.20	$1,599.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Facility		$28.02	$28.02	$28.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02