Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,174.90	Professional		$707.95	$812.83	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,041.74	Facility		$933.25	$1,621.81	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,621.81	Professional		$831.76	$933.25	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,398.83	Facility		$1,584.89	$1,995.26	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,621.81	Facility		$1,122.02	$1,122.02	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,380.38	Professional		$812.83	$812.83	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,258.93	Facility		$549.54	$1,071.52	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,071.52	Professional		$467.74	$758.58	$1,071.52