Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $872.91 / $2,800.89	Facility		$622.41	$872.91	$2,800.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.70 / $622.41 / $645.19	Professional		$561.70	$622.41	$645.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.65 / $679.35 / $2,277.15	Facility		$599.65	$679.35	$2,277.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $106.20 / $169.92	Professional		$76.58	$106.20	$169.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $986.77 / $1,214.48	Facility		$759.05	$986.77	$1,214.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $910.86 / $1,138.58	Professional		$759.05	$910.86	$1,138.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $759.05 / $1,691.74	Facility		$493.38	$759.05	$1,691.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $924.59 / $1,107.77	Professional		$140.18	$924.59	$1,107.77
United Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Facility		$759.05	$759.05	$759.05
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $834.20	Professional		$318.80	$455.43	$834.20