Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.31 / $920.31 / $1,933.80	Facility		$920.31	$920.31	$1,933.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.31 / $944.24 / $1,070.36	Professional		$920.31	$944.24	$1,070.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.70 / $1,730.75 / $1,933.80	Facility		$1,527.70	$1,730.75	$1,933.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.84 / $1,168.71 / $1,577.75	Professional		$968.84	$1,168.71	$1,577.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,450.35 / $2,127.17 / $2,900.70	Facility		$1,450.35	$2,127.17	$2,900.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,643.73 / $2,127.17 / $2,610.63	Professional		$1,643.73	$2,127.17	$2,610.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,933.80	Facility		$1,226.77	$1,226.77	$1,933.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,226.77 / $1,983.70	Professional		$895.54	$1,226.77	$1,983.70
United Facility/Professional Professional Modifier Low / Median / High Price $643.16 / $964.75 / $1,453.59	Professional		$643.16	$964.75	$1,453.59