Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.40 / $951.20 / $5,159.68	Facility		$916.40	$951.20	$5,159.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $928.00 / $1,160.00	Professional		$812.00	$928.00	$1,160.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,044.00 / $1,219.16	Facility		$464.00	$1,044.00	$1,219.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.40 / $464.00 / $464.00	Professional		$394.40	$464.00	$464.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,624.00 / $1,914.00	Facility		$1,392.00	$1,624.00	$1,914.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,334.00 / $1,566.00 / $2,320.00	Professional		$1,334.00	$1,566.00	$2,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $902.60 / $2,310.00	Facility		$754.00	$902.60	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.26 / $1,276.00 / $5,591.20	Professional		$534.26	$1,276.00	$5,591.20
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,276.00	Professional		$487.20	$696.00	$1,276.00