Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.86 / $1,639.61 / $2,402.37	Facility		$533.86	$1,639.61	$2,402.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $642.96 / $1,912.88	Professional		$636.59	$642.96	$1,912.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $1,273.18 / $1,686.96	Facility		$636.59	$1,273.18	$1,686.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $636.59 / $903.95	Professional		$541.10	$636.59	$903.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $954.89	Facility		$636.59	$636.59	$954.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $795.74	Professional		$636.59	$636.59	$795.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Facility		$636.59	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,878.72	Professional		$636.59	$636.59	$1,878.72
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $850.36	Professional		$636.59	$636.59	$850.36