Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.65 / $413.65 / $898.81	Facility		$413.65	$413.65	$898.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.65 / $413.65 / $1,985.43	Professional		$413.65	$413.65	$1,985.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.77 / $493.47 / $680.98	Professional		$394.77	$493.47	$680.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.03 / $437.19 / $512.75	Facility		$343.03	$437.19	$512.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.03 / $403.56 / $504.45	Professional		$343.03	$403.56	$504.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.97 / $1,383.03 / $1,751.35	Professional		$578.97	$1,383.03	$1,751.35
United Facility/Professional Professional Modifier Low / Median / High Price $369.62 / $507.63 / $764.26	Professional		$369.62	$507.63	$764.26