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 $600.40 / $623.20 / $722.00	Professional		$600.40	$623.20	$722.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $2,280.00 / $4,126.04	Facility		$1.10	$2,280.00	$4,126.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.32 / $459.80	Professional		$0.93	$1.32	$459.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $950.00 / $16,754.70	Facility		$760.00	$950.00	$16,754.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,026.00	Professional		$760.00	$836.00	$1,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $760.00 / $1,436.67	Facility		$494.00	$760.00	$1,436.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $930.81 / $1,091.86	Professional		$873.50	$930.81	$1,091.86
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $760.00	Professional		$319.20	$456.00	$760.00