Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.90 / $914.25 / $2,933.55	Facility		$651.90	$914.25	$2,933.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $651.90 / $825.00	Professional		$628.04	$651.90	$825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.04 / $715.50 / $2,385.00	Facility		$628.04	$715.50	$2,385.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $645.00 / $851.40	Professional		$13.28	$645.00	$851.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $954.00 / $1,113.00	Facility		$795.00	$954.00	$1,113.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $914.25 / $1,152.75	Professional		$795.00	$914.25	$1,152.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $1,502.70	Facility		$795.00	$795.00	$1,502.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.29 / $851.40 / $1,141.95	Professional		$572.29	$851.40	$1,141.95
United Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $795.00	Facility		$795.00	$795.00	$795.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $795.00	Professional		$333.90	$477.00	$795.00