Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.26 / $838.15 / $1,508.67	Facility		$335.26	$838.15	$1,508.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $1,248.00 / $1,294.80	Professional		$370.18	$1,248.00	$1,294.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.18 / $1,495.00 / $3,445.00	Facility		$370.18	$1,495.00	$3,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $370.18 / $592.28	Professional		$370.18	$370.18	$592.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.57 / $159.69 / $242.68	Facility		$156.57	$159.69	$242.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.57 / $156.57 / $234.86	Professional		$156.57	$156.57	$234.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Facility		$1,326.00	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.01 / $1,326.00 / $1,326.00	Professional		$479.01	$1,326.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,378.00 / $1,547.00	Professional		$1,300.00	$1,378.00	$1,547.00