Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.80 / $927.80 / $1,874.55	Facility		$927.80	$927.80	$1,874.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.12 / $956.71 / $1,017.01	Professional		$892.12	$956.71	$1,017.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,480.89 / $1,677.72 / $1,874.55	Facility		$1,480.89	$1,677.72	$1,874.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.47 / $1,047.83 / $1,446.00	Professional		$914.47	$1,047.83	$1,446.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,461.63 / $2,062.01 / $2,811.83	Facility		$1,461.63	$2,062.01	$2,811.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,593.37 / $2,062.01 / $2,530.64	Professional		$1,593.37	$2,062.01	$2,530.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,874.55	Facility		$1,212.63	$1,212.63	$1,874.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $1,922.93	Professional		$885.22	$1,212.63	$1,922.93
United Facility/Professional Professional Modifier Low / Median / High Price $572.20 / $896.16 / $1,293.20	Professional		$572.20	$896.16	$1,293.20