Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.22 / $1,152.22 / $2,327.96	Facility		$1,152.22	$1,152.22	$2,327.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.55 / $1,152.22 / $1,250.38	Professional		$915.55	$1,152.22	$1,250.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.10 / $2,083.53 / $2,327.96	Facility		$1,839.10	$2,083.53	$2,327.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.44 / $1,079.00 / $1,489.02	Professional		$1,037.44	$1,079.00	$1,489.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,641.44 / $2,444.37 / $3,259.16	Facility		$1,641.44	$2,444.37	$3,259.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,978.77 / $2,560.77 / $3,142.76	Professional		$1,978.77	$2,560.77	$3,142.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $2,327.96	Facility		$1,107.01	$1,107.01	$2,327.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,107.01 / $2,038.45	Professional		$808.12	$1,107.01	$2,038.45
United Facility/Professional Professional Modifier Low / Median / High Price $589.23 / $1,073.81 / $1,487.06	Professional		$589.23	$1,073.81	$1,487.06