Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.08 / $1,063.42 / $1,063.42	Facility		$880.08	$1,063.42	$1,063.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,063.42	Professional		$1,052.89	$1,052.89	$1,063.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $2,032.08	Facility		$1,052.89	$1,052.89	$2,032.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,495.10	Professional		$1,052.89	$1,052.89	$1,495.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,579.34	Facility		$1,052.89	$1,052.89	$1,579.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,210.82	Professional		$1,052.89	$1,052.89	$1,210.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $1,052.89 / $1,052.89	Professional		$998.00	$1,052.89	$1,052.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,137.11	Professional		$1,052.89	$1,052.89	$1,137.11