Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.91 / $1,214.63 / $2,775.07	Facility		$970.91	$1,214.63	$2,775.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,214.63 / $1,500.00	Professional		$920.00	$1,214.63	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.35 / $2,429.26 / $3,643.89	Facility		$1,275.35	$2,429.26	$3,643.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.02 / $1,156.28 / $1,514.21	Professional		$925.02	$1,156.28	$1,514.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,721.74 / $2,104.34 / $2,754.78	Facility		$1,721.74	$2,104.34	$2,754.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,721.74 / $2,066.08	Professional		$1,238.93	$1,721.74	$2,066.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.33 / $1,238.93 / $3,243.38	Professional		$1,114.33	$1,238.93	$3,243.38
United Facility/Professional Professional Modifier Low / Median / High Price $607.32 / $1,214.63 / $1,287.51	Professional		$607.32	$1,214.63	$1,287.51