Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.20 / $1,238.80 / $2,804.40	Facility		$623.20	$1,238.80	$2,804.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $623.20 / $646.00	Professional		$562.40	$623.20	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $2,280.00 / $4,126.04	Facility		$846.27	$2,280.00	$4,126.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.32 / $846.27 / $1,140.08	Professional		$719.32	$846.27	$1,140.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $988.00 / $1,216.00	Facility		$760.00	$988.00	$1,216.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,140.00	Professional		$760.00	$912.00	$1,140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,436.67 / $2,963.90	Facility		$494.00	$1,436.67	$2,963.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $1,109.33 / $1,117.08	Professional		$873.50	$1,109.33	$1,117.08
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $835.24	Professional		$319.20	$456.00	$835.24