Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.80 / $861.80 / $861.80	Facility		$861.80	$861.80	$861.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.35 / $861.80 / $1,077.25	Professional		$761.35	$861.80	$1,077.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.11 / $1,012.95 / $1,131.79	Facility		$894.11	$1,012.95	$1,131.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.05 / $2,310.00 / $3,049.20	Professional		$810.05	$2,310.00	$3,049.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $848.84 / $1,244.97 / $1,616.07	Facility		$848.84	$1,244.97	$1,616.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $962.02 / $1,244.97 / $1,527.92	Professional		$962.02	$1,244.97	$1,527.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $2,139.76	Professional		$517.14	$517.14	$2,139.76
United Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $541.07 / $810.05	Professional		$358.33	$541.07	$810.05