Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,778.28 / $3,388.44	Facility		$741.31	$1,778.28	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $794.33	Professional		$741.31	$741.31	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,698.24	Facility		$912.01	$1,174.90	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,513.56	Professional		$776.25	$851.14	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63,095.73 / $63,095.73 / $70,794.58	Facility		$63,095.73	$63,095.73	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $2,089.30	Professional		$794.33	$794.33	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54