Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.52 / $1,076.40 / $3,453.84	Facility		$767.52	$1,076.40	$3,453.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.44 / $767.52 / $1,150.00	Professional		$739.44	$767.52	$1,150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.44 / $837.72 / $2,808.00	Facility		$739.44	$837.72	$2,808.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $374.40 / $800.00	Professional		$100.00	$374.40	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,123.20 / $1,310.40	Facility		$936.00	$1,123.20	$1,310.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,076.40 / $1,357.20	Professional		$936.00	$1,076.40	$1,357.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.40 / $936.00 / $2,177.46	Facility		$608.40	$936.00	$2,177.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.21 / $1,075.86 / $1,344.83	Professional		$494.21	$1,075.86	$1,344.83
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $936.00	Professional		$393.12	$561.60	$936.00