Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.20 / $874.00 / $2,804.40	Facility		$623.20	$874.00	$2,804.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $623.20 / $646.00	Professional		$562.40	$623.20	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $680.20 / $2,280.00	Facility		$600.40	$680.20	$2,280.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $304.00 / $410.40	Professional		$258.39	$304.00	$410.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $988.00 / $1,216.00	Facility		$760.00	$988.00	$1,216.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,140.00	Professional		$760.00	$912.00	$1,140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $760.00 / $1,693.93	Facility		$494.00	$760.00	$1,693.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.28 / $925.90 / $1,109.33	Professional		$401.28	$925.90	$1,109.33
United Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Facility		$760.00	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $835.24	Professional		$319.20	$456.00	$835.24