Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.49 / $969.49 / $2,037.14	Facility		$969.49	$969.49	$2,037.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.49 / $994.70 / $1,013.73	Professional		$969.49	$994.70	$1,013.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,609.34 / $1,823.24 / $2,037.14	Facility		$1,609.34	$1,823.24	$2,037.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.61 / $1,111.77 / $1,534.24	Professional		$1,020.61	$1,111.77	$1,534.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,536.13 / $2,240.85 / $3,055.71	Facility		$1,536.13	$2,240.85	$3,055.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,731.57 / $2,240.85 / $2,750.14	Professional		$1,731.57	$2,240.85	$2,750.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $2,037.14	Facility		$1,317.79	$1,317.79	$2,037.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $2,089.71	Professional		$961.99	$1,317.79	$2,089.71
United Facility/Professional Professional Modifier Low / Median / High Price $605.26 / $1,016.30 / $1,399.02	Professional		$605.26	$1,016.30	$1,399.02