Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.62 / $1,303.95 / $3,911.85	Facility		$479.62	$1,303.95	$3,911.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $479.62 / $845.65	Professional		$467.92	$479.62	$845.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.11 / $1,167.04 / $3,175.42	Facility		$1,030.11	$1,167.04	$3,175.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $288.83 / $800.00	Professional		$100.00	$288.83	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,760.33	Facility		$1,303.95	$1,564.74	$1,760.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.10 / $1,369.15 / $1,890.73	Professional		$829.10	$1,369.15	$1,890.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $1,958.21	Facility		$584.90	$584.90	$1,958.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.27 / $716.36 / $1,872.96	Professional		$381.27	$716.36	$1,872.96
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $438.95 / $717.17	Professional		$245.66	$438.95	$717.17