Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.17 / $612.17 / $1,236.85	Facility		$612.17	$612.17	$1,236.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.63 / $635.72 / $664.33	Professional		$588.63	$635.72	$664.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.12 / $1,106.99 / $1,236.85	Facility		$977.12	$1,106.99	$1,236.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $661.43 / $892.93	Professional		$170.00	$661.43	$892.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.70 / $1,360.55 / $1,855.29	Facility		$932.70	$1,360.55	$1,855.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,051.33 / $1,360.55 / $1,669.76	Professional		$1,051.33	$1,360.55	$1,669.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $1,236.85	Facility		$756.07	$756.07	$1,236.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $756.07 / $1,268.78	Professional		$551.92	$756.07	$1,268.78
United Facility/Professional Professional Modifier Low / Median / High Price $367.59 / $597.33 / $836.56	Professional		$367.59	$597.33	$836.56