Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.42 / $762.42 / $1,602.03	Facility		$762.42	$762.42	$1,602.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $764.16 / $792.91	Professional		$680.13	$764.16	$792.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,265.59 / $1,433.82 / $1,602.03	Facility		$1,265.59	$1,433.82	$1,602.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.63 / $839.51 / $1,158.52	Professional		$802.63	$839.51	$1,158.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,168.04 / $1,717.71 / $2,242.84	Facility		$1,168.04	$1,717.71	$2,242.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,361.73 / $1,762.23 / $2,162.73	Professional		$1,361.73	$1,762.23	$2,162.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,602.03	Facility		$1,036.33	$1,036.33	$1,602.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $1,643.37	Professional		$756.53	$1,036.33	$1,643.37
United Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $799.24 / $1,070.44	Professional		$457.04	$799.24	$1,070.44