Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.41 / $640.41 / $1,345.68	Facility		$640.41	$640.41	$1,345.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.41 / $657.07 / $748.32	Professional		$640.41	$657.07	$748.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.08 / $1,204.38 / $1,345.68	Facility		$1,063.08	$1,204.38	$1,345.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.19 / $822.12 / $1,109.85	Professional		$674.19	$822.12	$1,109.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,009.26 / $1,480.25 / $2,018.52	Facility		$1,009.26	$1,480.25	$2,018.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,143.83 / $1,480.25 / $1,816.67	Professional		$1,143.83	$1,480.25	$1,816.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $1,345.68	Facility		$870.50	$870.50	$1,345.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $870.50 / $1,380.41	Professional		$635.47	$870.50	$1,380.41
United Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $671.35 / $1,011.52	Professional		$447.56	$671.35	$1,011.52