Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $748.07 / $1,589.65	Facility		$748.07	$748.07	$1,589.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $748.07 / $776.12	Professional		$748.07	$748.07	$776.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.16 / $918.91 / $919.50	Facility		$882.16	$918.91	$919.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.54 / $756.54 / $779.24	Professional		$756.54	$756.54	$779.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,546.41 / $41,999.58 / $62,999.37	Facility		$1,546.41	$41,999.58	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $859.12 / $1,270.27 / $1,701.06	Professional		$859.12	$1,270.27	$1,701.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $1,141.90 / $1,141.90	Professional		$794.83	$1,141.90	$1,141.90