Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.51 / $808.51 / $1,633.55	Facility		$808.51	$808.51	$1,633.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.51 / $839.61 / $887.73	Professional		$808.51	$839.61	$887.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.50 / $1,462.03 / $1,633.55	Facility		$1,290.50	$1,462.03	$1,633.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.88 / $970.78 / $1,310.55	Professional		$796.88	$970.78	$1,310.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,388.52 / $1,796.91 / $2,450.33	Facility		$1,388.52	$1,796.91	$2,450.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,388.52 / $1,796.91 / $2,205.29	Professional		$1,388.52	$1,796.91	$2,205.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,633.55	Facility		$1,030.36	$1,030.36	$1,633.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,675.70	Professional		$752.17	$752.17	$1,675.70
United Facility/Professional Professional Modifier Low / Median / High Price $530.94 / $814.96 / $1,169.14	Professional		$530.94	$814.96	$1,169.14