Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.91 / $2,287.17 / $4,405.09	Facility		$978.91	$2,287.17	$4,405.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $978.91 / $978.91	Professional		$978.91	$978.91	$978.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.71 / $1,172.66 / $2,702.21	Facility		$411.71	$1,172.66	$2,702.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $411.71 / $617.55	Professional		$411.71	$411.71	$617.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $129.72 / $168.65	Facility		$129.72	$129.72	$168.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $129.72 / $207.57	Professional		$126.49	$129.72	$207.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $1,040.08 / $2,673.14	Professional		$411.71	$1,040.08	$2,673.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,264.43	Professional		$1,019.70	$1,019.70	$1,264.43