Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.25 / $663.25 / $1,340.06	Facility		$663.25	$663.25	$1,340.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.25 / $688.76 / $765.29	Professional		$663.25	$688.76	$765.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.65 / $1,199.34 / $1,340.06	Facility		$1,058.65	$1,199.34	$1,340.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.72 / $804.84 / $1,110.67	Professional		$653.72	$804.84	$1,110.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,139.05 / $1,474.07 / $2,010.09	Facility		$1,139.05	$1,474.07	$2,010.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,139.05 / $1,474.07 / $1,809.08	Professional		$1,139.05	$1,474.07	$1,809.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,340.06	Facility		$837.35	$837.35	$1,340.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $1,374.65	Professional		$611.27	$837.35	$1,374.65
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $779.97 / $874.74	Facility		$1.07	$779.97	$874.74
United Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $668.54 / $987.22	Professional		$445.70	$668.54	$987.22