Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.95 / $643.95 / $1,353.09	Facility		$643.95	$643.95	$1,353.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.72 / $643.95 / $669.70	Professional		$571.72	$643.95	$669.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,068.94 / $1,211.02 / $1,353.09	Facility		$1,068.94	$1,211.02	$1,353.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.86 / $659.00 / $909.42	Professional		$650.86	$659.00	$909.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $981.85 / $1,443.90 / $1,894.33	Facility		$981.85	$1,443.90	$1,894.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,150.13 / $1,488.40 / $1,826.67	Professional		$1,150.13	$1,488.40	$1,826.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $1,353.09	Facility		$875.29	$875.29	$1,353.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $875.29 / $1,388.00	Professional		$638.96	$875.29	$1,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.42 / $675.04 / $873.78	Professional		$360.42	$675.04	$873.78