Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,123.20 / $2,656.80	Facility		$720.00	$1,123.20	$2,656.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $568.79 / $612.00	Professional		$292.60	$568.79	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $2,160.00 / $3,908.88	Facility		$228.90	$2,160.00	$3,908.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $228.90 / $343.35	Professional		$194.56	$228.90	$343.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $936.00 / $1,152.00	Facility		$720.00	$936.00	$1,152.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $864.00 / $1,080.00	Professional		$720.00	$864.00	$1,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $720.00 / $1,604.89	Facility		$468.00	$720.00	$1,604.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $876.87 / $1,050.58	Professional		$302.14	$876.87	$1,050.58
United Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Facility		$720.00	$720.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $791.28	Professional		$302.39	$432.00	$791.28