Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.18 / $2,545.46 / $4,816.80	Facility		$1,501.18	$2,545.46	$4,816.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.65 / $1,031.24 / $1,109.56	Professional		$887.65	$1,031.24	$1,109.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $3,916.11 / $7,086.85	Facility		$201.36	$3,916.11	$7,086.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $201.36 / $271.83	Professional		$171.15	$201.36	$271.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,696.98 / $2,088.59	Facility		$1,305.36	$1,696.98	$2,088.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,566.44 / $1,958.06	Professional		$1,305.36	$1,566.44	$1,958.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $2,467.40 / $5,091.37	Facility		$848.49	$2,467.40	$5,091.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.80 / $1,362.00 / $1,729.74	Professional		$265.80	$1,362.00	$1,729.74
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $1,434.60	Professional		$548.26	$783.22	$1,434.60