Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.53 / $786.53 / $1,589.13	Facility		$786.53	$786.53	$1,589.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.28 / $789.42 / $853.53	Professional		$756.28	$789.42	$853.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.41 / $1,422.27 / $1,589.13	Facility		$1,255.41	$1,422.27	$1,589.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.23 / $929.30 / $1,254.55	Professional		$775.23	$929.30	$1,254.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,198.29 / $1,748.04 / $2,383.69	Facility		$1,198.29	$1,748.04	$2,383.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,350.76 / $1,748.04 / $2,145.33	Professional		$1,350.76	$1,748.04	$2,145.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,589.13	Facility		$1,115.23	$1,115.23	$1,589.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $1,630.13	Professional		$814.12	$1,115.23	$1,630.13
United Facility/Professional Professional Modifier Low / Median / High Price $472.15 / $759.70 / $1,062.78	Professional		$472.15	$759.70	$1,062.78