Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $708.48 / $1,416.96	Facility		$384.00	$708.48	$1,416.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $314.88 / $364.80	Professional		$130.56	$314.88	$364.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $938.13 / $1,152.00	Facility		$33.47	$938.13	$1,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $33.47 / $45.18	Professional		$28.44	$33.47	$45.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.20 / $518.40 / $806.40	Facility		$403.20	$518.40	$806.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $460.80 / $576.00	Professional		$384.00	$460.80	$576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $725.67 / $1,497.91	Facility		$249.60	$725.67	$1,497.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $441.08 / $560.17	Professional		$44.18	$441.08	$560.17
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $211.01	Professional		$80.64	$115.20	$211.01