Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $5,888.44	Facility		$1,318.26	$2,754.23	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,584.89	Professional		$1,288.25	$1,318.26	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,884.03	Facility		$1,548.82	$1,949.84	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,949.84	Professional		$1,318.26	$1,318.26	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,398.83	Facility		$1,318.26	$1,584.89	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,819.70	Facility		$933.25	$1,318.26	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,548.82	Professional		$1,318.26	$1,318.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,884.03	Facility		$1,318.26	$1,318.26	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,621.81	Professional		$1,318.26	$1,380.38	$1,621.81