Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.33 / $1,395.48 / $3,101.99	Facility		$689.33	$1,395.48	$3,101.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.11 / $689.33 / $798.62	Professional		$664.11	$689.33	$798.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $2,521.94 / $4,563.89	Facility		$846.27	$2,521.94	$4,563.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.01 / $846.27 / $1,117.07	Professional		$677.01	$846.27	$1,117.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $1,050.81 / $18,529.98	Facility		$840.65	$1,050.81	$18,529.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $924.72 / $1,134.88	Professional		$840.65	$924.72	$1,134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $1,588.90 / $3,278.04	Facility		$546.41	$1,588.90	$3,278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,029.58 / $1,207.51	Professional		$966.01	$1,029.58	$1,207.51
United Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $840.65 / $840.65	Facility		$840.65	$840.65	$840.65
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $504.39 / $840.65	Professional		$353.07	$504.39	$840.65