Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,886.02	Facility		$897.58	$897.58	$1,886.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.58 / $920.91 / $938.52	Professional		$897.58	$920.91	$938.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,489.96 / $1,687.99 / $1,886.02	Facility		$1,489.96	$1,687.99	$1,886.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.41 / $1,029.32 / $1,389.58	Professional		$850.41	$1,029.32	$1,389.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,422.16 / $2,074.62 / $2,829.03	Facility		$1,422.16	$2,074.62	$2,829.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,603.12 / $2,074.62 / $2,546.13	Professional		$1,603.12	$2,074.62	$2,546.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,886.02	Facility		$1,329.56	$1,329.56	$1,886.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $1,984.29	Professional		$970.58	$970.58	$1,984.29
United Facility/Professional Professional Modifier Low / Median / High Price $560.37 / $940.91 / $1,332.96	Professional		$560.37	$940.91	$1,332.96