Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.58 / $744.58 / $1,504.38	Facility		$744.58	$744.58	$1,504.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.95 / $747.33 / $808.02	Professional		$715.95	$747.33	$808.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,188.46 / $1,346.42 / $1,504.38	Facility		$1,188.46	$1,346.42	$1,504.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.88 / $797.06 / $1,076.03	Professional		$733.88	$797.06	$1,076.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.41 / $1,654.82 / $2,256.57	Facility		$1,134.41	$1,654.82	$2,256.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,278.72 / $1,654.82 / $2,030.91	Professional		$1,278.72	$1,654.82	$2,030.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,504.38	Facility		$1,038.85	$1,038.85	$1,504.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $1,543.21	Professional		$758.37	$1,038.85	$1,543.21
United Facility/Professional Professional Modifier Low / Median / High Price $446.97 / $719.19 / $1,017.50	Professional		$446.97	$719.19	$1,017.50