Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.33 / $1,395.48 / $3,101.99	Facility		$689.33	$1,395.48	$3,101.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.11 / $689.33 / $798.62	Professional		$664.11	$689.33	$798.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $2,521.94 / $4,563.89	Facility		$336.26	$2,521.94	$4,563.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $336.26 / $512.79	Professional		$285.82	$336.26	$512.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $882.68 / $12,353.31	Facility		$840.65	$882.68	$12,353.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $840.65 / $1,092.84	Professional		$546.41	$840.65	$1,092.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $1,588.90 / $3,278.04	Facility		$546.41	$1,588.90	$3,278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $966.01 / $1,207.51	Professional		$966.01	$966.01	$1,207.51
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $504.39 / $840.65	Professional		$353.07	$504.39	$840.65