Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.01 / $788.01 / $1,592.13	Facility		$788.01	$788.01	$1,592.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.71 / $788.01 / $855.15	Professional		$757.71	$788.01	$855.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,257.78 / $1,424.96 / $1,592.13	Facility		$1,257.78	$1,424.96	$1,592.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.68 / $874.87 / $1,207.32	Professional		$776.68	$874.87	$1,207.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,194.09 / $1,751.34 / $2,228.98	Facility		$1,194.09	$1,751.34	$2,228.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,353.31 / $1,751.34 / $2,149.38	Professional		$1,353.31	$1,751.34	$2,149.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,592.13	Facility		$897.58	$897.58	$1,592.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,633.21	Professional		$655.23	$655.23	$1,633.21
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $477.75 / $761.14 / $1,079.50	Professional		$477.75	$761.14	$1,079.50