Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.89 / $1,446.20 / $2,736.63	Facility		$852.89	$1,446.20	$2,736.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.32 / $548.80 / $630.39	Professional		$504.32	$548.80	$630.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.33 / $2,224.92 / $4,026.36	Facility		$335.33	$2,224.92	$4,026.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $335.33 / $476.16	Professional		$285.02	$335.33	$476.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $964.13 / $1,446.20	Facility		$741.64	$964.13	$1,446.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $889.97 / $1,112.46	Professional		$741.64	$889.97	$1,112.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.43 / $908.33 / $1,082.58	Professional		$852.43	$908.33	$1,082.58
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $444.98 / $815.06	Professional		$311.49	$444.98	$815.06