Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.20 / $1,334.00 / $4,060.00	Facility		$951.20	$1,334.00	$4,060.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.40 / $951.20 / $1,102.00	Professional		$858.40	$951.20	$1,102.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $916.40 / $1,038.20 / $3,480.00	Facility		$916.40	$1,038.20	$3,480.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $464.00 / $626.40	Professional		$464.00	$464.00	$626.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,508.00 / $1,624.00	Facility		$1,160.00	$1,508.00	$1,624.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,392.00 / $1,740.00	Professional		$1,160.00	$1,392.00	$1,740.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $1,160.00 / $2,585.78	Facility		$754.00	$1,160.00	$2,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.48 / $1,056.72 / $1,692.59	Professional		$612.48	$1,056.72	$1,692.59
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,274.83	Professional		$487.20	$696.00	$1,274.83