Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.58 / $3,448.99 / $9,534.68	Facility		$1,336.58	$3,448.99	$9,534.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,501.79	Professional		$1,323.35	$1,323.35	$1,501.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $2,646.70 / $3,202.51	Facility		$1,323.35	$2,646.70	$3,202.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,826.22	Professional		$1,323.35	$1,323.35	$1,826.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,985.03	Facility		$1,323.35	$1,323.35	$1,985.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,654.19	Professional		$1,323.35	$1,323.35	$1,654.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,444.55	Facility		$1,323.35	$1,323.35	$1,444.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,574.85	Professional		$1,323.35	$1,323.35	$1,574.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $1,767.73	Professional		$1,323.35	$1,402.75	$1,767.73