Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.26 / $730.26 / $1,534.44	Facility		$730.26	$730.26	$1,534.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.72 / $744.86 / $759.47	Professional		$717.72	$744.86	$759.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,212.21 / $1,373.32 / $1,534.44	Facility		$1,212.21	$1,373.32	$1,534.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $1,092.50 / $1,474.87	Professional		$810.61	$1,092.50	$1,474.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.83 / $1,687.88 / $2,252.31	Facility		$1,150.83	$1,687.88	$2,252.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,304.27 / $1,687.88 / $2,071.48	Professional		$1,304.27	$1,687.88	$2,071.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,534.44	Facility		$843.35	$843.35	$1,534.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $1,614.41	Professional		$716.85	$843.35	$1,614.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Facility		$2,159.44	$2,159.44	$2,159.44
United Facility/Professional Professional Modifier Low / Median / High Price $448.89 / $765.52 / $1,084.49	Professional		$448.89	$765.52	$1,084.49