Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.17 / $657.17 / $1,327.77	Facility		$657.17	$657.17	$1,327.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.90 / $682.45 / $721.96	Professional		$631.90	$682.45	$721.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.94 / $1,188.34 / $1,327.77	Facility		$1,048.94	$1,188.34	$1,327.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.72 / $792.54 / $1,093.70	Professional		$647.72	$792.54	$1,093.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $995.83 / $1,460.55 / $1,973.19	Facility		$995.83	$1,460.55	$1,973.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,128.59 / $1,460.55 / $1,792.49	Professional		$1,128.59	$1,460.55	$1,792.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $1,327.77	Facility		$830.86	$830.86	$1,327.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $1,362.03	Professional		$606.53	$830.86	$1,362.03
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $656.27 / $960.73	Professional		$437.51	$656.27	$960.73