Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $872.91 / $2,800.89	Facility		$622.41	$872.91	$2,800.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $622.41 / $721.10	Professional		$455.43	$622.41	$721.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.65 / $679.35 / $2,277.15	Facility		$599.65	$679.35	$2,277.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $303.62 / $800.00	Professional		$100.00	$303.62	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $909.95 / $1,062.67	Facility		$759.05	$909.95	$1,062.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $797.00 / $1,062.67	Professional		$759.05	$797.00	$1,062.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $759.05 / $1,765.78	Facility		$493.38	$759.05	$1,765.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.09 / $683.03 / $1,090.32	Professional		$351.09	$683.03	$1,090.32
United Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Facility		$759.05	$759.05	$759.05
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $796.75	Professional		$318.80	$455.43	$796.75