Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.44 / $1,441.72 / $1,441.72	Facility		$1,384.44	$1,441.72	$1,441.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,441.72	Professional		$1,427.45	$1,427.45	$1,441.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,754.98	Facility		$1,427.45	$1,427.45	$2,754.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,026.97	Professional		$1,427.45	$1,427.45	$2,026.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,141.17	Facility		$1,427.45	$1,427.45	$2,141.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,641.57	Professional		$1,427.45	$1,427.45	$1,641.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,479.00	Professional		$1,427.45	$1,427.45	$1,479.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,288.69 / $2,288.69 / $2,288.69	Facility		$2,288.69	$2,288.69	$2,288.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,751.02	Professional		$1,427.45	$1,427.45	$1,751.02