Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.89 / $562.89 / $1,182.76	Facility		$562.89	$562.89	$1,182.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.44 / $562.89 / $585.40	Professional		$499.44	$562.89	$585.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.38 / $1,058.57 / $1,182.76	Facility		$934.38	$1,058.57	$1,182.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.55 / $602.98 / $814.02	Professional		$592.55	$602.98	$814.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $857.73 / $1,261.35 / $1,655.86	Facility		$857.73	$1,261.35	$1,655.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,005.35 / $1,301.04 / $1,596.73	Professional		$1,005.35	$1,301.04	$1,596.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,182.76	Facility		$765.11	$765.11	$1,182.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $1,213.29	Professional		$558.53	$765.11	$1,213.29
United Facility/Professional Professional Modifier Low / Median / High Price $333.91 / $590.05 / $824.26	Professional		$333.91	$590.05	$824.26