Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.20 / $874.00 / $2,660.00	Facility		$623.20	$874.00	$2,660.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $623.20 / $722.00	Professional		$562.40	$623.20	$722.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $680.20 / $2,280.00	Facility		$600.40	$680.20	$2,280.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $258.39	Professional		$2.00	$2.00	$258.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $912.00 / $1,064.00	Facility		$760.00	$912.00	$1,064.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,140.00	Professional		$760.00	$912.00	$1,140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $760.00 / $1,768.30	Facility		$494.00	$760.00	$1,768.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $547.17 / $1,102.00	Professional		$2.64	$547.17	$1,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $361.26 / $835.24	Professional		$319.20	$361.26	$835.24