Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.39 / $679.39 / $1,372.66	Facility		$679.39	$679.39	$1,372.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $705.52 / $763.32	Professional		$679.39	$705.52	$763.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,084.40 / $1,228.53 / $1,372.66	Facility		$1,084.40	$1,228.53	$1,372.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.71 / $803.81 / $1,109.25	Professional		$687.71	$803.81	$1,109.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,166.76 / $1,509.93 / $2,058.98	Facility		$1,166.76	$1,509.93	$2,058.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,166.76 / $1,509.93 / $1,853.09	Professional		$1,166.76	$1,509.93	$1,853.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $1,372.66	Facility		$857.71	$857.71	$1,372.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $857.71 / $1,408.09	Professional		$626.13	$857.71	$1,408.09
United Facility/Professional Professional Modifier Low / Median / High Price $456.54 / $684.80 / $1,011.23	Professional		$456.54	$684.80	$1,011.23