Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.80 / $873.46 / $2,802.65	Facility		$622.80	$873.46	$2,802.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $622.80 / $719.07	Professional		$455.72	$622.80	$719.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.03 / $679.78 / $2,278.59	Facility		$600.03	$679.78	$2,278.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $303.81 / $800.00	Professional		$100.00	$303.81	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.53 / $911.44 / $1,063.33	Facility		$759.53	$911.44	$1,063.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $873.46 / $1,101.32	Professional		$759.53	$873.46	$1,101.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $759.53 / $1,767.44	Facility		$493.69	$759.53	$1,767.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $747.63 / $1,090.83	Professional		$347.56	$747.63	$1,090.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $341.79 / $709.55	Professional		$48.96	$341.79	$709.55