Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.75 / $1,413.75 / $2,675.25	Facility		$833.75	$1,413.75	$2,675.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $572.75 / $616.25	Professional		$493.00	$572.75	$616.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.08 / $2,175.00 / $3,936.03	Facility		$255.08	$2,175.00	$3,936.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $255.08 / $344.35	Professional		$216.81	$255.08	$344.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $942.50 / $1,160.00	Facility		$725.00	$942.50	$1,160.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $870.00 / $1,087.50	Professional		$725.00	$870.00	$1,087.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.25 / $1,370.03 / $2,827.26	Facility		$471.25	$1,370.03	$2,827.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $833.02 / $1,057.94	Professional		$336.71	$833.02	$1,057.94
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $435.00 / $893.93	Professional		$304.50	$435.00	$893.93