Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.63 / $829.63 / $1,743.25	Facility		$829.63	$829.63	$1,743.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.92 / $829.63 / $862.81	Professional		$708.92	$829.63	$862.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,377.17 / $1,560.21 / $1,743.25	Facility		$1,377.17	$1,560.21	$1,743.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.26 / $871.01 / $1,201.99	Professional		$860.26	$871.01	$1,201.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.47 / $1,830.41 / $2,440.55	Facility		$1,217.47	$1,830.41	$2,440.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,481.76 / $1,917.58 / $2,353.39	Professional		$1,481.76	$1,917.58	$2,353.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $1,743.25	Facility		$895.00	$895.00	$1,743.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $895.00 / $1,788.24	Professional		$653.35	$895.00	$1,788.24
United Facility/Professional Professional Modifier Low / Median / High Price $476.38 / $869.69 / $1,164.78	Professional		$476.38	$869.69	$1,164.78