Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.51 / $641.51 / $1,296.14	Facility		$641.51	$641.51	$1,296.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.84 / $643.89 / $696.17	Professional		$616.84	$643.89	$696.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.95 / $1,160.05 / $1,296.14	Facility		$1,023.95	$1,160.05	$1,296.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.85 / $752.32 / $1,038.20	Professional		$601.85	$752.32	$1,038.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.38 / $1,425.75 / $1,944.21	Facility		$977.38	$1,425.75	$1,944.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.72 / $1,425.75 / $1,749.79	Professional		$1,101.72	$1,425.75	$1,749.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,296.14	Facility		$723.52	$723.52	$1,296.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $1,329.58	Professional		$528.16	$723.52	$1,329.58
United Facility/Professional Professional Modifier Low / Median / High Price $385.10 / $625.79 / $916.16	Professional		$385.10	$625.79	$916.16