Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.29 / $1,006.29 / $2,114.46	Facility		$1,006.29	$1,006.29	$2,114.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.29 / $1,026.41 / $1,127.04	Professional		$1,006.29	$1,026.41	$1,127.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,670.42 / $1,892.44 / $2,114.46	Facility		$1,670.42	$1,892.44	$2,114.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.34 / $1,242.91 / $1,699.46	Professional		$1,059.34	$1,242.91	$1,699.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,585.85 / $2,325.91 / $3,065.84	Facility		$1,585.85	$2,325.91	$3,065.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,797.29 / $2,325.91 / $2,854.52	Professional		$1,797.29	$2,325.91	$2,854.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,114.46	Facility		$1,367.82	$1,367.82	$2,114.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $2,165.39	Professional		$998.51	$1,367.82	$2,165.39
United Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1,529.51 / $1,536.34	Facility		$1.63	$1,529.51	$1,536.34
United Facility/Professional Professional Modifier Low / Median / High Price $679.78 / $1,054.88 / $1,547.09	Professional		$679.78	$1,054.88	$1,547.09