Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.63 / $598.63 / $1,209.49	Facility		$598.63	$598.63	$1,209.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.61 / $600.83 / $649.63	Professional		$575.61	$600.83	$649.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $955.50 / $1,082.49 / $1,209.49	Facility		$955.50	$1,082.49	$1,209.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.03 / $657.04 / $906.71	Professional		$590.03	$657.04	$906.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.04 / $1,330.44 / $1,814.24	Facility		$912.04	$1,330.44	$1,814.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,028.07 / $1,330.44 / $1,632.81	Professional		$1,028.07	$1,330.44	$1,632.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $1,209.49	Facility		$782.41	$782.41	$1,209.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $782.41 / $1,240.70	Professional		$571.16	$782.41	$1,240.70
United Facility/Professional Professional Modifier Low / Median / High Price $359.36 / $583.95 / $817.84	Professional		$359.36	$583.95	$817.84