Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,380.38	Professional		$794.33	$912.01	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,344.23	Facility		$1,445.44	$1,862.09	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,344.23	Professional		$1,071.52	$1,445.44	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,754.23	Facility		$1,819.70	$2,290.87	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,862.09	Facility		$630.96	$1,023.29	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,905.46	Professional		$870.96	$870.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,479.11	Facility		$1,071.52	$1,288.25	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,380.38	Professional		$549.54	$912.01	$1,380.38