Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.63 / $1,977.60 / $1,977.60	Facility		$587.63	$1,977.60	$1,977.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $587.63 / $791.04	Professional		$587.63	$587.63	$791.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.01 / $762.02 / $1,266.49	Facility		$381.01	$762.02	$1,266.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $824.00 / $1,003.86	Professional		$624.35	$824.00	$1,003.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,214.74 / $1,214.74 / $1,664.65	Facility		$1,214.74	$1,214.74	$1,664.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,214.74 / $1,214.74 / $1,457.69	Professional		$1,214.74	$1,214.74	$1,457.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $734.54	Professional		$624.36	$624.36	$734.54
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $759.02	Professional		$612.11	$612.11	$759.02