Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $690.00 / $2,100.00	Facility		$492.00	$690.00	$2,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $492.00 / $570.00	Professional		$444.00	$492.00	$570.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $554.28 / $1,800.00	Facility		$474.00	$554.28	$1,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.28 / $554.28 / $746.72	Professional		$554.28	$554.28	$746.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $720.00 / $840.00	Facility		$600.00	$720.00	$840.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $660.00 / $850.50	Professional		$600.00	$660.00	$850.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $600.00 / $1,396.01	Facility		$390.00	$600.00	$1,396.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.12 / $731.09 / $871.00	Professional		$432.12	$731.09	$871.00
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $720.00	Facility		$600.00	$600.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $660.00	Professional		$252.00	$360.00	$660.00