Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.58 / $1,291.24 / $2,614.16	Facility		$649.58	$1,291.24	$2,614.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.82 / $649.58 / $752.56	Professional		$625.82	$649.58	$752.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $2,376.51 / $4,300.68	Facility		$792.17	$2,376.51	$4,300.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $201.36 / $608.38	Professional		$171.15	$201.36	$608.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $990.21 / $17,460.66	Facility		$792.17	$990.21	$17,460.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $871.39 / $1,069.43	Professional		$792.17	$871.39	$1,069.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $1,497.19 / $3,089.04	Facility		$514.91	$1,497.19	$3,089.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $475.30 / $792.17	Professional		$332.71	$475.30	$792.17