Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.74 / $900.74 / $1,819.89	Facility		$900.74	$900.74	$1,819.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.77 / $900.74 / $977.48	Professional		$828.77	$900.74	$977.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.71 / $1,628.80 / $1,819.89	Facility		$1,437.71	$1,628.80	$1,819.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.80 / $975.53 / $1,346.23	Professional		$887.80	$975.53	$1,346.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,363.56 / $2,001.88 / $2,547.85	Facility		$1,363.56	$2,001.88	$2,547.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,546.91 / $2,001.88 / $2,456.85	Professional		$1,546.91	$2,001.88	$2,456.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,819.89	Facility		$1,025.33	$1,025.33	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $1,866.86	Professional		$748.49	$1,025.33	$1,866.86
United Facility/Professional Professional Modifier Low / Median / High Price $533.54 / $870.02 / $1,215.99	Professional		$533.54	$870.02	$1,215.99