Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.18 / $974.18 / $2,047.00	Facility		$974.18	$974.18	$2,047.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.02 / $974.18 / $1,013.15	Professional		$810.02	$974.18	$1,013.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,617.13 / $1,832.07 / $2,047.00	Facility		$1,617.13	$1,832.07	$2,047.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.14 / $1,009.19 / $1,392.68	Professional		$992.14	$1,009.19	$1,392.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,535.25 / $2,251.69 / $2,865.80	Facility		$1,535.25	$2,251.69	$2,865.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,739.95 / $2,251.69 / $2,763.45	Professional		$1,739.95	$2,251.69	$2,763.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $2,047.00	Facility		$1,324.18	$1,324.18	$2,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,324.18 / $1,888.13	Professional		$966.65	$1,324.18	$1,888.13
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.41 / $1,021.22 / $1,367.75	Professional		$549.41	$1,021.22	$1,367.75