Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.22 / $797.22 / $1,610.72	Facility		$797.22	$797.22	$1,610.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.56 / $827.88 / $895.71	Professional		$766.56	$827.88	$895.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.47 / $1,441.59 / $1,610.72	Facility		$1,272.47	$1,441.59	$1,610.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.76 / $943.22 / $1,301.64	Professional		$785.76	$943.22	$1,301.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.04 / $1,771.79 / $2,416.08	Facility		$1,208.04	$1,771.79	$2,416.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,369.11 / $1,771.79 / $2,174.46	Professional		$1,369.11	$1,771.79	$2,174.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,610.72	Facility		$1,006.48	$1,006.48	$1,610.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,652.29	Professional		$734.73	$734.73	$1,652.29
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.72 / $803.57 / $1,186.60	Professional		$535.72	$803.57	$1,186.60