Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.27 / $863.27 / $1,813.93	Facility		$863.27	$863.27	$1,813.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.27 / $863.27 / $897.80	Professional		$735.27	$863.27	$897.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.00 / $1,623.47 / $1,813.93	Facility		$1,433.00	$1,623.47	$1,813.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.75 / $902.90 / $1,235.23	Professional		$891.75	$902.90	$1,235.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,262.73 / $1,904.63 / $2,539.50	Facility		$1,262.73	$1,904.63	$2,539.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,541.84 / $1,995.32 / $2,448.81	Professional		$1,541.84	$1,995.32	$2,448.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,813.93	Facility		$1,232.20	$1,232.20	$1,813.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $1,801.91	Professional		$899.51	$1,232.20	$1,801.91
United Facility/Professional Professional Modifier Low / Median / High Price $493.82 / $904.95 / $1,199.58	Professional		$493.82	$904.95	$1,199.58