Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.55 / $1,092.95 / $3,764.23	Facility		$668.55	$1,092.95	$3,764.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.55 / $693.94 / $1,287.22	Professional		$668.55	$693.94	$1,287.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.79 / $846.27 / $1,883.31	Facility		$526.79	$846.27	$1,883.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $800.00 / $3,138.85	Professional		$100.00	$800.00	$3,138.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $930.90 / $1,184.78 / $1,396.35	Facility		$930.90	$1,184.78	$1,396.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,100.15 / $1,421.73	Professional		$846.27	$1,100.15	$1,421.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $658.48 / $4,614.88	Facility		$550.08	$658.48	$4,614.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.27 / $894.55 / $4,079.02	Professional		$386.27	$894.55	$4,079.02
United Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $507.76 / $930.90	Professional		$507.76	$507.76	$930.90