Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.67 / $742.67 / $1,500.51	Facility		$742.67	$742.67	$1,500.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.03 / $742.67 / $805.94	Professional		$680.03	$742.67	$805.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.40 / $1,342.96 / $1,500.51	Facility		$1,185.40	$1,342.96	$1,500.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.99 / $775.39 / $1,070.03	Professional		$731.99	$775.39	$1,070.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,085.19 / $1,595.86 / $2,100.71	Facility		$1,085.19	$1,595.86	$2,100.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,650.56 / $2,025.69	Professional		$1,275.43	$1,650.56	$2,025.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,500.51	Facility		$1,057.34	$1,057.34	$1,500.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $1,539.23	Professional		$771.87	$1,057.34	$1,539.23
United Facility/Professional Professional Modifier Low / Median / High Price $424.08 / $715.21 / $1,002.59	Professional		$424.08	$715.21	$1,002.59