Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,710.48 / $5,488.38	Facility		$1,219.64	$1,710.48	$5,488.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $1,219.64 / $1,413.00	Professional		$58.00	$1,219.64	$1,413.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,175.02 / $1,331.20 / $4,462.10	Facility		$1,175.02	$1,331.20	$4,462.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $770.45	Professional		$34.22	$34.22	$770.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $1,784.84 / $2,379.79	Facility		$1,487.37	$1,784.84	$2,379.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $1,636.11 / $2,007.95	Professional		$1,487.37	$1,636.11	$2,007.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $966.79 / $1,487.37 / $3,460.28	Facility		$966.79	$1,487.37	$3,460.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $1,708.99 / $2,136.23	Professional		$35.10	$1,708.99	$2,136.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $1,487.37 / $1,487.37	Facility		$1,487.37	$1,487.37	$1,487.37
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $892.42 / $1,487.37	Professional		$624.70	$892.42	$1,487.37