Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.62 / $916.62 / $1,926.05	Facility		$916.62	$916.62	$1,926.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.29 / $916.62 / $953.28	Professional		$803.29	$916.62	$953.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.58 / $1,723.81 / $1,926.05	Facility		$1,521.58	$1,723.81	$1,926.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.59 / $878.44 / $1,212.24	Professional		$867.59	$878.44	$1,212.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,389.35 / $2,043.16 / $2,696.47	Facility		$1,389.35	$2,043.16	$2,696.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,637.14 / $2,118.66 / $2,600.17	Professional		$1,637.14	$2,118.66	$2,600.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $1,926.05	Facility		$902.63	$902.63	$1,926.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $902.63 / $1,787.15	Professional		$658.92	$902.63	$1,787.15
United Facility/Professional Professional Modifier Low / Median / High Price $480.44 / $960.88 / $1,378.52	Professional		$480.44	$960.88	$1,378.52