Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.23 / $847.23 / $1,780.23	Facility		$847.23	$847.23	$1,780.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.95 / $857.21 / $881.11	Professional		$762.95	$857.21	$881.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.38 / $1,593.31 / $1,780.23	Facility		$1,406.38	$1,593.31	$1,780.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.91 / $1,707.00 / $2,299.67	Professional		$891.91	$1,707.00	$2,299.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,310.28 / $1,926.88 / $2,492.32	Facility		$1,310.28	$1,926.88	$2,492.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.20 / $1,958.25 / $2,403.31	Professional		$1,513.20	$1,958.25	$2,403.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $1,780.23	Facility		$963.22	$963.22	$1,780.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $2,064.00	Professional		$703.15	$963.22	$2,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.69 / $888.14 / $1,189.50	Professional		$512.69	$888.14	$1,189.50