Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.13 / $908.13 / $1,834.81	Facility		$908.13	$908.13	$1,834.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.20 / $943.06 / $996.15	Professional		$873.20	$943.06	$996.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.50 / $1,642.15 / $1,834.81	Facility		$1,449.50	$1,642.15	$1,834.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.37 / $1,095.47 / $1,480.65	Professional		$876.37	$1,095.47	$1,480.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.55 / $2,018.29 / $2,752.22	Facility		$1,412.55	$2,018.29	$2,752.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,559.59 / $2,018.29 / $2,476.98	Professional		$1,559.59	$2,018.29	$2,476.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,834.81	Facility		$1,186.93	$1,186.93	$1,834.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $1,882.15	Professional		$866.46	$1,186.93	$1,882.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $595.79 / $893.69 / $1,344.87	Professional		$595.79	$893.69	$1,344.87