Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.89 / $813.98 / $1,372.13	Facility		$668.89	$813.98	$1,372.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.32 / $790.41 / $1,070.95	Professional		$655.32	$790.41	$1,070.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.63 / $1,197.98 / $1,729.71	Professional		$698.63	$1,197.98	$1,729.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.08 / $856.58 / $1,078.15	Facility		$588.08	$856.58	$1,078.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $811.91 / $897.16 / $1,217.86	Professional		$811.91	$897.16	$1,217.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.33 / $519.33 / $615.61	Facility		$519.33	$519.33	$615.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.61 / $1,092.99 / $1,861.68	Professional		$793.61	$1,092.99	$1,861.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.02 / $1,017.35 / $1,820.01	Professional		$773.02	$1,017.35	$1,820.01