Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.24 / $951.24 / $1,998.78	Facility		$951.24	$951.24	$1,998.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.01 / $970.26 / $1,023.56	Professional		$911.01	$970.26	$1,023.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,579.04 / $1,788.91 / $1,998.78	Facility		$1,579.04	$1,788.91	$1,998.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.07 / $1,124.51 / $1,530.46	Professional		$975.07	$1,124.51	$1,530.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,499.09 / $2,198.66 / $2,798.29	Facility		$1,499.09	$2,198.66	$2,798.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.96 / $2,198.66 / $2,698.35	Professional		$1,698.96	$2,198.66	$2,698.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,998.78	Facility		$1,408.48	$1,408.48	$1,998.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,408.48 / $2,050.36	Professional		$1,028.19	$1,408.48	$2,050.36
United Facility/Professional Professional Modifier Low / Median / High Price $612.17 / $997.17 / $1,412.66	Professional		$612.17	$997.17	$1,412.66