Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.87 / $3,585.12 / $6,168.08	Facility		$991.87	$3,585.12	$6,168.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $991.87 / $1,029.06	Professional		$991.87	$991.87	$1,029.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.55 / $1,023.10 / $2,066.40	Facility		$511.55	$1,023.10	$2,066.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.80 / $984.00 / $1,397.28	Professional		$958.80	$984.00	$1,397.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,464.56 / $1,464.56 / $2,006.99	Facility		$1,464.56	$1,464.56	$2,006.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,464.56 / $1,464.56 / $1,757.47	Professional		$1,464.56	$1,464.56	$1,757.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,239.83	Professional		$1,053.85	$1,053.85	$1,239.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,239.83	Professional		$1,033.20	$1,033.20	$1,239.83