Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $1,367.80 / $5,634.00	Facility		$271.45	$1,367.80	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $1,099.05 / $1,648.48	Professional		$249.21	$1,099.05	$1,648.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.81 / $296.81 / $572.84	Facility		$296.81	$296.81	$572.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.28 / $593.62 / $2,799.99	Professional		$252.28	$593.62	$2,799.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.76 / $285.57 / $1,417.01	Facility		$215.76	$285.57	$1,417.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,057.58 / $1,208.66 / $1,510.83	Professional		$1,057.58	$1,208.66	$1,510.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.23 / $1,056.84 / $2,751.24	Professional		$274.23	$1,056.84	$2,751.24
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.57 / $1,728.62 / $2,719.97	Professional		$1,234.57	$1,728.62	$2,719.97