Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.63 / $743.63 / $1,502.44	Facility		$743.63	$743.63	$1,502.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.74 / $743.63 / $806.98	Professional		$644.74	$743.63	$806.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,344.68 / $1,502.44	Facility		$1,186.93	$1,344.68	$1,502.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.91 / $736.27 / $1,016.05	Professional		$707.91	$736.27	$1,016.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,069.09 / $1,577.56 / $2,103.42	Facility		$1,069.09	$1,577.56	$2,103.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,277.07 / $1,652.68 / $2,028.29	Professional		$1,277.07	$1,652.68	$2,028.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $1,502.44	Facility		$755.39	$755.39	$1,502.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $755.39 / $1,541.21	Professional		$551.42	$755.39	$1,541.21
United Facility/Professional Professional Modifier Low / Median / High Price $402.07 / $703.62 / $985.66	Professional		$402.07	$703.62	$985.66