Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.56 / $772.56 / $1,560.91	Facility		$772.56	$772.56	$1,560.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.53 / $772.56 / $846.85	Professional		$702.53	$772.56	$846.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,233.11 / $1,397.01 / $1,560.91	Facility		$1,233.11	$1,397.01	$1,560.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.80 / $770.62 / $1,063.45	Professional		$739.80	$770.62	$1,063.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.83 / $1,717.00 / $2,341.37	Facility		$1,236.83	$1,717.00	$2,341.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,326.77 / $1,717.00 / $2,107.23	Professional		$1,326.77	$1,717.00	$2,107.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,560.91	Facility		$1,014.49	$1,014.49	$1,560.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $1,014.49 / $1,570.79	Professional		$740.58	$1,014.49	$1,570.79
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $735.31 / $999.59	Professional		$420.18	$735.31	$999.59