Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.90 / $906.90 / $1,905.61	Facility		$906.90	$906.90	$1,905.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.28 / $925.03 / $1,007.57	Professional		$854.28	$925.03	$1,007.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.43 / $1,705.52 / $1,905.61	Facility		$1,505.43	$1,705.52	$1,905.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.72 / $1,054.47 / $1,455.16	Professional		$954.72	$1,054.47	$1,455.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,429.21 / $2,096.17 / $2,667.85	Facility		$1,429.21	$2,096.17	$2,667.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,619.77 / $2,096.17 / $2,572.57	Professional		$1,619.77	$2,096.17	$2,572.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $1,905.61	Facility		$1,232.72	$1,232.72	$1,905.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,232.72 / $1,954.79	Professional		$899.89	$1,232.72	$1,954.79
United Facility/Professional Professional Modifier Low / Median / High Price $574.05 / $950.69 / $1,326.91	Professional		$574.05	$950.69	$1,326.91