Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,258.93	Professional		$741.31	$870.96	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,290.87	Facility		$933.25	$1,819.70	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,698.24	Professional		$933.25	$933.25	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,290.87	Facility		$1,548.82	$1,949.84	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,819.70	Facility		$1,047.13	$1,258.93	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,548.82	Professional		$912.01	$912.01	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,445.44	Facility		$1,023.29	$1,230.27	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,258.93	Professional		$512.86	$891.25	$1,258.93