Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.48 / $1,051.09 / $3,372.66	Facility		$749.48	$1,051.09	$3,372.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.06 / $749.48 / $868.30	Professional		$722.06	$749.48	$868.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $2,742.00 / $4,962.10	Facility		$846.27	$2,742.00	$4,962.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $846.27 / $1,117.07	Professional		$100.00	$846.27	$1,117.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,096.80 / $1,279.59	Facility		$914.00	$1,096.80	$1,279.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,005.40 / $1,325.30	Professional		$914.00	$1,005.40	$1,325.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $2,036.95	Facility		$914.00	$914.00	$2,036.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.97 / $1,117.08 / $1,325.00	Professional		$657.97	$1,117.08	$1,325.00
United Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $914.00	Facility		$914.00	$914.00	$914.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $914.00	Professional		$383.88	$548.40	$914.00