Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $785.30 / $1,857.56	Facility		$503.40	$785.30	$1,857.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $427.89 / $503.40	Professional		$251.69	$427.89	$503.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.69 / $450.54 / $1,006.80	Facility		$397.69	$450.54	$1,006.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $201.36 / $307.07	Professional		$35.52	$201.36	$307.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $629.25 / $11,093.70	Facility		$503.40	$629.25	$11,093.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $553.74 / $679.59	Professional		$503.40	$553.74	$679.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $503.40 / $951.26	Facility		$327.20	$503.40	$951.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $616.54 / $656.25	Professional		$525.00	$616.54	$656.25
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $503.40	Professional		$211.43	$302.04	$503.40