Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,801.89	Facility		$1,148.15	$1,584.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $933.25 / $1,122.02	Professional		$309.03	$933.25	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,467.37	Facility		$1,148.15	$1,148.15	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $537.03 / $1,071.52	Professional		$16.22	$537.03	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,570.40	Facility		$758.58	$1,148.15	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $2,089.30	Professional		$537.03	$1,047.13	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,148.15	Professional		$489.78	$691.83	$1,148.15