Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.15 / $583.15 / $1,178.21	Facility		$583.15	$583.15	$1,178.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.15 / $605.58 / $639.22	Professional		$583.15	$605.58	$639.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.79 / $1,054.50 / $1,178.21	Facility		$930.79	$1,054.50	$1,178.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.77 / $713.17 / $984.17	Professional		$574.77	$713.17	$984.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $884.82 / $1,296.03 / $1,767.32	Facility		$884.82	$1,296.03	$1,767.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,001.48 / $1,296.03 / $1,590.58	Professional		$1,001.48	$1,296.03	$1,590.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,178.21	Facility		$736.22	$736.22	$1,178.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $1,208.61	Professional		$537.44	$736.22	$1,208.61
United Facility/Professional Professional Modifier Low / Median / High Price $391.86 / $587.79 / $867.98	Professional		$391.86	$587.79	$867.98