Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.29 / $613.29 / $1,288.69	Facility		$613.29	$613.29	$1,288.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.29 / $629.24 / $752.28	Professional		$613.29	$629.24	$752.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.07 / $1,153.38 / $1,288.69	Facility		$1,018.07	$1,153.38	$1,288.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.64 / $787.30 / $1,086.47	Professional		$645.64	$787.30	$1,086.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,095.39 / $1,460.51 / $1,933.04	Facility		$1,095.39	$1,460.51	$1,933.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,095.39 / $1,417.56 / $1,739.73	Professional		$1,095.39	$1,417.56	$1,739.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $1,288.69	Facility		$908.11	$908.11	$1,288.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,321.94	Professional		$662.92	$662.92	$1,321.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,061.90 / $2,061.90 / $2,061.90	Facility		$2,061.90	$2,061.90	$2,061.90
United Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $642.91 / $968.67	Professional		$428.61	$642.91	$968.67