Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.73 / $755.73 / $1,587.98	Facility		$755.73	$755.73	$1,587.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.73 / $775.38 / $790.22	Professional		$755.73	$775.38	$790.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,254.50 / $1,421.24 / $1,587.98	Facility		$1,254.50	$1,421.24	$1,587.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.58 / $954.08 / $1,294.27	Professional		$795.58	$954.08	$1,294.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.44 / $1,746.78 / $2,381.96	Facility		$1,197.44	$1,746.78	$2,381.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,349.78 / $1,746.78 / $2,143.77	Professional		$1,349.78	$1,746.78	$2,143.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.52 / $950.52 / $1,587.98	Facility		$950.52	$950.52	$1,587.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.88 / $950.52 / $1,628.96	Professional		$693.88	$950.52	$1,628.96
United Facility/Professional Professional Modifier Low / Median / High Price $471.92 / $792.23 / $1,090.83	Professional		$471.92	$792.23	$1,090.83