Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.22 / $1,534.94 / $2,904.57	Facility		$905.22	$1,534.94	$2,904.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $645.46 / $669.08	Professional		$535.26	$645.46	$669.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,361.44 / $4,273.43	Facility		$540.00	$2,361.44	$4,273.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $540.00 / $729.00	Professional		$459.00	$540.00	$729.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $1,023.30 / $1,534.94	Facility		$787.15	$1,023.30	$1,534.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $944.58 / $1,180.73	Professional		$787.15	$944.58	$1,180.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.65 / $1,487.41 / $3,069.89	Facility		$511.65	$1,487.41	$3,069.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.80 / $904.47 / $1,148.68	Professional		$712.80	$904.47	$1,148.68
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $472.29 / $865.08	Professional		$330.60	$472.29	$865.08