Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.64 / $1,581.60 / $2,839.94	Facility		$632.64	$1,581.60	$2,839.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $695.90	Professional		$695.90	$695.90	$695.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.03 / $1,449.80 / $2,174.69	Facility		$685.03	$1,449.80	$2,174.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $148.00	Professional		$0.70	$0.70	$148.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.46 / $881.65 / $1,391.81	Facility		$576.46	$881.65	$1,391.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $678.19 / $847.74 / $1,017.29	Professional		$678.19	$847.74	$1,017.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $869.88	Professional		$739.40	$739.40	$869.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $85.80 / $148.78	Professional		$85.80	$85.80	$148.78