Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $2,024.02 / $2,024.02	Facility		$850.08	$2,024.02	$2,024.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $850.08 / $850.08	Professional		$850.08	$850.08	$850.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.29 / $1,430.58 / $2,036.65	Facility		$715.29	$1,430.58	$2,036.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.13 / $648.00 / $920.16	Professional		$450.13	$648.00	$920.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.43 / $163.43 / $236.97	Facility		$163.43	$163.43	$236.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.43 / $163.43 / $253.32	Professional		$163.43	$163.43	$253.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $1,062.59	Professional		$903.21	$903.21	$1,062.59
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,107.32	Professional		$885.50	$885.50	$1,107.32