Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.11 / $593.11 / $1,198.33	Facility		$593.11	$593.11	$1,198.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $615.91 / $643.64	Professional		$570.29	$615.91	$643.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.69 / $1,072.51 / $1,198.33	Facility		$946.69	$1,072.51	$1,198.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.58 / $643.89 / $869.25	Professional		$584.58	$643.89	$869.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $903.62 / $1,318.17 / $1,797.51	Facility		$903.62	$1,318.17	$1,797.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,018.59 / $1,318.17 / $1,617.76	Professional		$1,018.59	$1,318.17	$1,617.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $1,198.33	Facility		$736.69	$736.69	$1,198.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $1,229.25	Professional		$537.78	$537.78	$1,229.25
United Facility/Professional Professional Modifier Low / Median / High Price $356.04 / $572.88 / $810.30	Professional		$356.04	$572.88	$810.30