Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.52 / $851.52 / $1,789.26	Facility		$851.52	$851.52	$1,789.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.99 / $865.49 / $885.58	Professional		$763.99	$865.49	$885.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,413.52 / $1,601.39 / $1,789.26	Facility		$1,413.52	$1,601.39	$1,789.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.41 / $943.02 / $1,273.07	Professional		$896.41	$943.02	$1,273.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,312.06 / $1,929.50 / $2,504.96	Facility		$1,312.06	$1,929.50	$2,504.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,520.87 / $1,968.19 / $2,415.50	Professional		$1,520.87	$1,968.19	$2,415.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,789.26	Facility		$1,260.83	$1,260.83	$1,789.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $1,835.42	Professional		$920.41	$1,260.83	$1,835.42
United Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $892.63 / $1,221.33	Professional		$513.39	$892.63	$1,221.33