Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $768.00 / $1,632.00	Facility		$768.00	$768.00	$1,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $796.80	Professional		$768.00	$768.00	$796.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $1,347.19 / $1,841.91	Facility		$1,216.00	$1,347.19	$1,841.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.04 / $1,142.41 / $1,142.41	Professional		$971.04	$1,142.41	$1,142.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $46.30 / $77.16	Facility		$38.58	$46.30	$77.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $38.58 / $59.41	Professional		$32.79	$38.58	$59.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $1,530.00	Facility		$816.00	$816.00	$1,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $2,022.58 / $2,656.48	Professional		$816.00	$2,022.58	$2,656.48
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00