Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.65 / $651.48 / $3,533.88	Facility		$627.65	$651.48	$3,533.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.14 / $635.59 / $794.49	Professional		$556.14	$635.59	$794.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.16 / $239.16 / $239.16	Facility		$239.16	$239.16	$239.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $239.16 / $239.16	Professional		$203.28	$239.16	$239.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $953.39 / $10,427.68 / $25,081.92	Facility		$953.39	$10,427.68	$25,081.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $913.66 / $1,112.29 / $14,735.63	Professional		$913.66	$1,112.29	$14,735.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.41 / $618.19 / $1,048.33	Facility		$516.41	$618.19	$1,048.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.87 / $1,013.13 / $3,829.44	Professional		$595.87	$1,013.13	$3,829.44
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $476.69 / $794.49	Professional		$333.69	$476.69	$794.49