Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.20 / $711.20 / $1,494.39	Facility		$711.20	$711.20	$1,494.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.20 / $729.69 / $743.64	Professional		$711.20	$729.69	$743.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.57 / $1,337.48 / $1,494.39	Facility		$1,180.57	$1,337.48	$1,494.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.82 / $811.81 / $1,095.94	Professional		$673.82	$811.81	$1,095.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.84 / $1,643.83 / $2,241.59	Facility		$1,126.84	$1,643.83	$2,241.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,270.23 / $1,643.83 / $2,017.43	Professional		$1,270.23	$1,643.83	$2,017.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $1,494.39	Facility		$967.10	$967.10	$1,494.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $967.10 / $1,572.26	Professional		$705.98	$967.10	$1,572.26
United Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $745.54 / $1,056.27	Professional		$444.00	$745.54	$1,056.27